More Intraosseous Device Info

From Medgadget:

The FAST1® Intraosseous Infusion System is the fastest, most reliable and safe alternative to conventional intravenous and central lines. When every second counts, FAST1® offers lifesaving vascular access for fluid and drug infusion in shock and trauma victims. FAST1® Intraosseous Infusion System is the fastest route to get drugs to the heart — less than 30 seconds — and in higher concentrations than other IO options. With everything you need in a self-contained, lightweight package.FAST1® is an innovative leap forward in resuscitation and critical patient care. The only sternal IO option available, FAST1® has been adopted by emergency medical services, hospitals and military medical units worldwide.

  • Delivers drugs to the heart 2 – 3 times faster than tibial IO
  • Fastest route to the heart of any vascular access device, including IV
  • Precise placement, every time
  • Automatic depth control for safety of delivery above the lungs and heart
  • Simplicity of use
  • Sterile, single-use product, completely disposable, with no risk of cross-contamination
  • Soft, low-profile, flexible, secure tubing
  • Sleek, lightweight design allows portability in medic’s packs
  • Of note, by accessing the IO route through the manubrium there is no interference with chest compressions during CPR.

    Intraosseous Device Wins Award

    From Medgadget:

    The Wall Street Journal has announced this year’s winners of the paper’s annual Technology Innovation Awards, and we’re glad to see that a medical device won the overall Gold and a lab-on-a-chip snatched the Bronze.

    The Gold winner is EZ-IO, a bone drill from Vidacare Corporation out of San Antonio, Texas that we wrote about back in March of 2006. The device creates an entry point to feed IV fluids through the bone for patients with collapsing veins.

    The EZ-IO® Product System by Vidacare® consists of a small battery-powered device and two beveled, hollow drill-tipped needles that were specifically designed to provide safe, controlled vascular access via the intraosseous (IO) route to patients of all ages in emergent situations when vascular access is challenging or impossible. The two needles apply to patients of the weight ranges 3 – 39kg and 40kg or greater. The EZ-IO product system creates a stable port into the intraosseous space accessing the central vascular system within seconds, causing minimal trauma to the patient. The greater than 40kg needle was specially designed with a beveled drill tip to quickly and easily penetrate through the hard exterior of adult bones while the 3 – 39kg needle is shorter in length permitting easy access through the softer bones of pediatric patients. This design provides the EZ-IO product system with superior control, a stable, secure port, and effectiveness unparalleled by the alternate IO products on the market today.

    Cricothyroidotomy Device

    From Medgadget:

    Here’s an interesting product we haven’t seen before. The Complete Rapid Illuminated Cricothyrotomy (CRIC) Kit is the latest life-saving medical product from Canadian company Pyng Medical, the developers of FAST1® Intraosseous Infusion System, that we profiled yesterday. Although FDA approval is pending, the new CRIC Kit is expected to provide significant improvements in speed, efficacy and safety to the life-saving medical procedure of cricothyrotomy.

    The CRIC Kit is being developed with support from the US Department of Defense (DOD) for the purpose of equipping US military medics and physicians. Currently, cricothyrotomy requires the use of at least three distinct medical instruments: scalpel, retractor, insertion tube, and in many cases, a light source. This can be difficult enough to manage in a modern ER, not to mention the extreme conditions that exist on the battlefield, where an obstructed airway is the second leading cause of death (after exsanguination).

    Antimicrobial IV Connector

    From Medgadget:

    Baxter released the first antimicrobial luer IV connector, dubbed V-Link, earlier this year, a device known to be effective against MRSA, Pseudomonas aeruginosa and Enterobacter cloacae. The V-Link connector employs an antimicrobial silver coating Baxter calls VitalShield. The VitaShield coated connector has been shown to kill 99.9% of pathogens that can cause IV related bloodstream infections.

    Today, Baxter received FDA clearance to expand their labeling, based on confirmation of device’s ability to combat three additional pathogens: vancomycin-resistant Enterococcus faecalis (VRE), Escherichia coli (E. coli) and Staphylococcus epidermidis (coagulase negative).

    Jackson Healthcare starts community-hospital business

    From Modern Healthcare:

    Jackson Healthcare, a Georgia-based staffing and technology firm, has started a new company to buy and manage community hospitals.

    Gary Bell, 61, will head the new venture as president of the recently created Jackson Hospital Affiliates, which will be based in Jackson Healthcare’s corporate offices in Alpharetta, Ga., outside of Atlanta. Bell is leaving Health Management Associates, Naples, Fla., where as senior vice president of acquisitions he oversaw purchases of 40 hospitals, according to a Jackson Healthcare news release.

    Jackson Healthcare Chairman and Chief Executive Officer Richard Jackson said the new firm will acquire and manage hospitals, using Jackson Healthcare’s experience in business management, staffing and technology to improve the quality and delivery of community healthcare, according to the release. Bell’s role is to identify which hospitals to purchase, and to manage them after acquisition.

    Jackson Healthcare’s other businesses include, Premier Anesthesia, and Jackson & Coker. The company has about 550 employees nationally.

    Health center legislation sent to White House

    From Modern Healthcare:

    Legislation that would authorize more than $13 billion for community health centers through fiscal 2012 has been sent to the White House. The bill, originally sponsored by Rep. Gene Green (D-Texas) was approved by the House after the Senate passed the bill by unanimous consent. Its main intent is to build and expand health centers in medically underserved areas.

    The bill specifically seeks reauthorization of the Community Health Centers program and other public health services programs. It also contains a revision of the time frame for certifying rural health clinics under Medicare. President Bush is expected to sign the bill into law, an aide to Green said.

    CMS grants accrediting authority to DNV Healthcare

    From Modern Healthcare:

    The CMS will allow Det Norske Veritas Healthcare to accredit U.S. hospitals, a move that puts the company in a small group of “deemed” organizations and could bring an increased focus on international standards, most notably ISO 9001, to hospitals across the country.

    …DNV Healthcare is expected to certify healthcare organizations as compliant with ISO 9001 quality management standards, as well as the Medicare conditions of participation.

    The company’s authority to accredit hospitals will run through September 26, 2012.

    Illinois Law Compels Hospitals to Give Uninsured Patients a Price Break

    From Wall Street Journal Health Blog:

    Nobody pays list price at hospitals — except the uninsured. A new law in Illinois will change that for many families, the Chicago Tribune reports.

    The law allows hospitals to charge patients for the cost of care, plus a mark-up of 35%. That may not strike you as a fantastic bargain, but it’s still a lot less than list prices, which can run to two to three times the cost of care. In urban areas, the law applies to those making up to six times the federal poverty level ($127,200 for a family of four); in rural areas where the cost of living is lower, the law applies to those making up to three times the poverty level.

    The law also caps total charges at 25% of the gross annual income of qualified families, assuming the patient doesn’t have lots of assets squirreled away.

    A Sore Throat That Turned Deadly Serious (Epiglottis)

    From the Washington Post:

    Szokan could no longer speak. She could see that her husband was visibly alarmed by the strangulated, high-pitched sound of her breathing. And she was becoming increasingly panicked by the behavior of doctors and nurses who kept trooping in and out of the room to make phone calls or search their computers, apparently stymied in their efforts to figure out what was wrong with her.

    “Can’t get air!” she frantically scribbled on a tablet.

    It took an astute country doctor with a good memory, roused from sleep by a dawn phone call from the ER, to figure out what was causing Szokan’s sudden, life-threatening problem. Denise Niemira’s instincts saved the 57-year-old Washington Post editor from serious injury or death from a malady that two decades ago was a complication greatly feared by pediatricians. Although the problem is rare among adults, many historians believe it killed George Washington.

    The Doctor’s Hands Are Germ-Free. The Scrubs Too?

    From the New York Times:

    Amid growing concerns about hospital infections and a rise in drug-resistant bacteria, the attire of doctors, nurses and other health care workers — worn both inside and outside the hospital — is getting more attention. While infection control experts have published extensive research on the benefits of hand washing and equipment sterilization in hospitals, little is known about the role that ties, white coats, long sleeves and soiled scrubs play in the spread of bacteria.

    The discussion was reignited this year when the British National Health Service imposed a “bare below the elbows” rule barring doctors from wearing ties and long sleeves, both of which are known to accumulate germs as doctors move from patient to patient.