1-866-584-3713

FSS # V797P-4462B | Medassets Contract # MS02526 | Premier Contract # PP-OR-1380

CPT Medical

Monthly Archives: June 2018


How to Create the Best Custom Surgical Tray for Your Practice 

CPTBlog-BANNER-creating-custom

Considerations

A surgeon’s tray is one of his or her most important tools in operation. Several questions should be asked before you decide on even the proper family of trays you’ll need. This is why custom trays are so popular today. Before customizing yours, ask yourself:

  • What kind of operations is this tray for?
  • What kind of tools are required?
  • Does the tray need to be suspended?
  • What kind of budget are you working with?
  • What sterilization measures are necessary/available?
  • Utility–how comfortable/awkward is the tray? It can’t delay necessary action.

Tray Characteristics

Generally, surgeons are looking for trays that are:

  • Easy to Sterilize: Sometimes surgery must happen extremely fast, and a tray that’s hard to sterilize can lose a life. Ideally, sterilization procedure should be very fast, and very straightforward. Custom trays are more likely to be designed this way than some non-custom options.
  • Sturdy: Custom trays should be strong enough to handle the load of necessary equipment for the operations they’ll be supporting. Whether that load be suspended or lifted up, the tray should accommodate without difficulty.
  • Effective at Consolidating Time: A tray’s weight, dimensions, and features will all help save time. Time is life in medical operations; and without life, there is no money.
  • Well-Manufactured: Whether the tray is a disposable one, or meant for continual reuse, it should be built to withstand not just procedural necessity, but the unpredictable.
  • Disposable Options: Procedure packs and customizable disposable trays have, for quite a while now, been used in surgical proceedings. What these amount to is packages of necessary operation equipment that can be bought in bulk already-sterilized and ready for operation. Both trays and equipment can be acquired this way, saving time and energy in operational preparation and performance. Again, when time is life, expense is tertiary. Though disposable customizable options may be more costly, they will definitely be more effective at helping speedy operations that may save lives.

Dependability of Manufacture and Shipping

When ordering custom trays, be sure to get them from a source which has a solid history of steady, accurate delivery. Medicine is an endlessly necessary function of modern society. As such, the needs of medical facilities increase as the population does. Though shipping, purchasing, and reprisal occur in a cyclic way, there are perpetual demands for equipment; especially of the disposable sterilized variety. As a result, it is not uncommon for custom procedural packs or custom trays to become lost, or mixed up, during shipment. Sometimes custom trays are purchased in bulk, and individually wrapped in a sterilized way containing all necessary operational equipment. But when the first custom trays are opened from the shipment, it is found the items inside do not correspond to the items requisitioned. Such mix-ups are going to be more common among manufacturers who are new to the market, or are perhaps overloaded with clientele. To avoid this, you should order custom trays in dual shipments and keep firm records of contents when they arrive. The better organizations will certainly ship the right items without additional expense to the surgical practice in question. Such errors should not happen, but they are subject to human imperfection, and so they cannot be curtailed; only recognized and planned for.

Reusable Custom Trays

While it is possible to find custom trays that are reusable, and so won’t ever ship with the wrong contents, sterilization can be difficult on-the-fly, and unless some unique system be devised by your practice, will not be something that can be accomplished as quickly as simply opening a pre-sterilized pack. Still, some delicate procedures may require direct reusable customization.

Why Invest in a Custom Surgical Tray

custom-tray

Custom surgical trays are a great investment for a number of reasons. They’re easier for staff to use, they save you time and money, they can be designed to fit your specific needs, and they can even save lives in emergencies.

Cutting Costs

With custom trays, you’ll avoid the hidden costs of on-site preparation. Custom trays are prepared off-site, in a professional facility, without any lost time for your medical practice. This type of preparation typically requires hours of sterilization and arrangement. By purchasing custom trays, you won’t lose time or money. And purchasing these trays in bulk will provide you with additional discounts.

Additionally, your custom trays are immediately available for use whenever you need them. Since they come pre-sterilized, there is no prep time for you. If your medical facility has a sterilization process, some custom trays reused, meaning you’ll save even more money.

Customize Trays to Fit Your Needs

Since all surgical practices are not the same, custom trays can be directly commissioned for your practice. The word “custom” implies personalization, which is something you need in your operating room. You may specialize in a procedure which isn’t offered anywhere else. Custom trays can be made to fit the individual idiosyncrasies a surgeon may have. Once your order has been made, the company will create bulk shipments of trays for you. This means you will always have a convenient supply of equipment on hand.

Quality Control

Human error happens. Error is more likely to occur when you prepare trays on-site. Custom tray providers will rarely have errors in delivery. If there are mistakes, providers will replace the trays with the right ones without any additional cost.

Customized Trays Save Lives

Custom trays can help you save more lives. Having conveniently-arranged operation equipment readily available means your staff won’t have to spend time preparing procedure trays. If your staff loses time prepping trays, lives can hang in the balance. Thankfully, customized procedure trays save your staff that time.

Modern and Customized

Customized trays not only save you time and money, but they can also save lives. These trays will increase efficiency, as your chosen sterilized instruments are packed into safe containers that will stay clean and intact until they are needed. Because they are customized, your facility gets exactly what it needs for its procedures. They are convenient and beneficial for a variety of medical practices. Customizing your own medical trays can be more cost-effective than buying standard items.

Order customized trays from a provider with a responsible reputation and you’ll enjoy wonderful customer service, quality control and bulk savings.

Image result for sterilizing surgical lab

Sterilizing the lab

Sterilization is the process where all biological matter is destroyed. It can be done through chemical or physical means. For instance, an autoclave uses steam to sterilize by high pressure. Infrared can also be used to kill microorganisms by using high temperatures for a few seconds. When it comes to using chemicals, hydrogen peroxide can be used to break down biological matter.

Sterilization can also be used to get rid of quasi-living biological agents like bacteria and viruses. Even though not everyone believes they are alive, failure to remove them might have deadly consequences to people especially patients and personnel. It is important to select the best sterilization technique that will do the job.

Sterilization or disinfection

You should note that sterilization is different from disinfection. Disinfection is the removal of harmful biological agents while sterilization removes all biological agents. In health-critical situations, sterilization is required while disinfection is done in other domestic processes.

Physical sterilization

There are many ways you can carry out physical sterilization in the lab. You can use heat and pressure to remove the substances from equipment and instruments. The challenge with using this method is that some viruses are known to resist getting denatured by high temperatures. You will need to know how to adjust the temperatures to remove these compounds.

You can use ionizing radiation to sterilize by releasing electrons from molecules. Most transmissible agents need RNA and DNA for their propagation. The radiation will sever the nucleic acid link thereby reducing their transmission. The technique is effective for disinfection. However, some fungal spores and bacteria resist the radiation.

Another method is through the use of Ultra-Violet lamps. Ultra-violet rays are generated by the sun then filtered out by the atmosphere. Micro-organisms have no natural resistance, and this makes it one of the most efficient sterilization methods. You can use UV lamps but ensure you avoid getting exposed for long periods. The lamps need to be in direct sight with the object. Objects also need to be in proximity to the lamp.

You can also do chemical filtration of compounds. The method excludes biological compounds based on the particle size. It is good for disinfection but should be used with another sterilization technique for it to be effective.

Chemical sterilization

You can use Ethylene Oxide to sterilize objects that are sensitive to radiation and high temperatures. It can be used to sterilize plastics, electronics, and optics since they are easily damaged by high temperatures making them unusable after sterilization. The chemical is commonly used to sterilize medical equipment that is durable and endoscopes. The chemical makes it impossible for micro-organisms to reproduce and produces good results. However, it should be noted that the chemical is a known carcinogen and can present a dangerous risk in the lab if not handled well.

Hydrogen Peroxide Vapor can also be used in sterilization. It can be used to remove biological matter and agents from furniture surfaces and other areas that are difficult to sterilize. The vapor will penetrate the desired area and can be used to sterilize pass-through chambers and other hospital devices. However, you should avoid overexposure since it breaks down living tissue as well.

Most of these methods are used together to establish a more lasting sterilization protocol in the lab. You need to ensure you use the right method so that all the biological matter can be eliminated completely.

l96-6652

How Does The TAA Pertain To Surgical Trays?

The Trade Agreements Act of 1979 was passed by Congress to serve several purposes. Firstly, it aims to foster international trade and expand the United States’ ability to engage in trade deals. Secondly, it hopes to further define and better enforce trading rules and regulations. Finally, the act also approved agreements made in a previous act in 1974.

In reference to surgical trays, the part of the Trade Agreements Act (TAA) that is most applicable is the goal of opening international trade deals because it defined various products as compliant if they are manufactured in the United States or in one of the other countries listed in the agreement as a “designated country”. Designated countries include places the United States has an existing free trade agreement with, countries that participate in the World Trade Organization Government Procurement Agreement, “least developed countries”, as well as Caribbean Basin countries.

Due to the requirement put forward by the TAA that all goods and services procured by the federal government (or any government-funded agencies including most hospitals) must be manufactured in either the United States or a designated country, it can be difficult sometimes to insure compliance if there is uncertainty about where products like surgical trays originated or were actually constructed.

On occasion, the TAA will run a compliance check and investigate the origin of an acquired product or service. In these instances, a company or hospital in fact, may have to provide evidence that their surgical trays have been manufactured in the United States or a designated country, or they will be subject to punishment under the rules and regulations of the FAA.

In the specific case of surgical trays, the easiest and most obvious step toward compliance would be simply to make sure that the trays you have purchased originate from one of the countries specified in the list of designated countries. However, surgical trays present a unique issue that may also come up under the FAA: sometimes the customized items contained on surgical trays are new or unavailable from one of the designated countries. CPT Medical, Inc. provides a solution to this issue: “You need to know that the vendors of the tools you’re purchasing have updated the part numbers for their products in the DAPA Management System.” This insures that the part numbers for any pieces on your surgical trays are registered and thus are able to be tracked or investigated by the FAA. CPT Medical, Inc. further has internal procedures that includes verification from manufacturers of place of product production.

When is Chemical Sterilization Most Appropriate?

Image result for chemical sterilization surgery trays

In all laboratories and hospitals, sterilization is a must. This is because viruses, bacteria, fungi, and other disease-casing agents cannot be totally killed by disinfection. What disinfection can only do is to remove them the way we remove dirt and germs in our kitchen. It only removes such agents, but it does not kill and eliminate them.

Sterilization is the primary and recommended method of cleaning all equipment, tools, and devices that are repeatedly used such as surgical instruments, biopsy forceps, and a custom tray. These objects are prone to any type of contagious disease, which can be transmitted by these tools and objects if not sterilized.

Types of Sterilization

There are two types of sterilization processes. These are:

  • Heat Sterilization
  • Chemical Sterilization

Heat Sterilization

Heat sterilization is the most recommended method of sterilization used for many decades already. This is because pathogens and other harmful bacteria are killed at a certain heat temperature. Some tools that are small can be soaked with boiling water. This will ensure that even the hardest to reach areas are sterilized.

In the case of larger and more complex devices and equipment in which sterilization with boiling water does not apply; steam sterilization is used. Steam sterilization distributes the heat all over the surfaces. This method can instantly kill and eliminate stubborn bacteria, fungi, and pathogens. It is also a proven method to clean all hospital and laboratory equipment and devices regardless of size and shape.

There are instances that steam sterilization is not applicable. Some devices and equipment are vulnerable to moisture and steam. Devices and equipment with a complex electronic system is a good example. The modern alternative to sterilizing them is through infrared sterilization. This type of heat sterilization kills all disease-causing agents in an instant.

Chemical Sterilization

Nowadays, there are a lot of modern hospital and laboratory instruments and tools such as a custom tray that are susceptible to heat. This means they have some components that should not be exposed to high temperature. These components are rubber, plastic, glass, and other similar elements.

To sterilize them without using heat, the recommended alternative is through chemical sterilization. Chemical sterilization is the process of using low temperature chemicals to kill, eliminate, and remove all germs, viruses, and bacteria. This can be in the form of gas or liquid chemicals.

Chemical sterilization uses the following elements and compounds:

  • Silver
  • Peracetic Acid
  • Hydrogen Peroxide
  • Phthalaldehyde
  • Glutaraldehyde and Formaldehyde
  • Bleach
  • Ozone

The above chemicals are used in many different ways and processes. Some can be mixed with other chemicals. Others are directly applied. There are also cases that some of them can be used along with steam sterilization.

Hospital and laboratory instruments don’t have to get heated only to sterilize them. Chemical sterilization can do the job without heating them. However, not all instruments and equipment can be sterilized in this method. This is because there are some equipment or devices that contain some elements that may react violently with the above chemicals. Before using a chemical sterilization process with these types of devices, it is recommended you check the manufacturer’s instructions from both manufacturers of chemicals and devices to be sterilized.

Conclusion

Chemical sterilization is now becoming the most recommended method of the sterilization. Many hospitals and laboratories are beginning to reduce the use of disposable instruments. Hospitals and laboratories are also now using a custom tray instead of disposable ones. And there are such instruments that should not be heated because they may have been made of plastic or glass. This is where chemical sterilization is appropriate.

Untitled-1-4

Easy Ways to Save Money with a Custom Surgical Tray

Spending lots of money on healthcare is a common practice. Even with good insurance coverage, you may still end up digging deep into your pocket for a custom tray. In fact, a survey done by the centers for medical and Medicaid services revealed that retail spending on custom trays, among other lab equipment, with considerable longevity, hit a whopping $48.5 billion in 2015 alone. You will most probably be looking for a few tips on how to save when shopping for medical supplies like custom trays. Here are five ideas you may be able to significantly cut your spending while getting the custom tray that stands the test of time.

  • Shop online

Online shopping for custom trays, like any other medical equipment, is one of the best ways to save money on such products. This is because the online medical supply stores have more access to larger quantities of the very product that you may come across in your local pharmacy. The fact that they purchase these goods in bulk means you can get them at prices lower than your local pharmacy. You can, therefore, be sure to find a quality custom tray at the best prices around. As you shop online, check out for product reviews of any custom tray that catches your eye. Ensure you pay close attention to the features you are looking out for. In most cases, you will only be required to fill out a form or contact a customer service line and just like that your custom trays are sent to you wherever you are.

  • Best cost includes great customer care

With the surge of online shopping, retailers’ consciousness has been drawn to the prices offered in the market. Certain e-retailers even undercut the business competition by skimping on their customer service. Think about whether you want to trade service for savings more so when purchasing a product as critical as a custom tray. Go through the fine print from the many e-retailers and pay attention to the cost of shipping, product warranties, and return policies.

  • Place bulk orders

Most online stores give free shipping on orders that are worth a certain amount. With this in mind, it is important to place bulk orders on custom trays so that you can save on shipping costs. In case you are shy of the threshold for free delivery, you can take stock of the current inventory and find out whether any supplies are close to running out then adding them to the order.

  • Buy certified pre-owned models

The high cost of medical supplies can drain your pocket. That is the reason you will find that there exist catalogs of certified pre-owned medical equipment including custom trays. All you need is to ensure that the custom tray meets the standard operation and functionality.

  • Use what you have

Most healthcare facilities outsource equipment support. However, with the help of a trustworthy repair support provider, minor repairs can be done in-house by clinical engineers who are staff members already. This will present an opportunity for healthcare facilities to cut cost. Not only will the equipment’s downtime be reduced, but the executives will also reduce the expenses associated with paying a vendor from outside.

What Determines the Expiration Date of a Custom Surgical Tray?

surgical-instruments

Custom medical trays are an exceptional product that make the flow of a medical office or facility so much more efficient and successful. The customization of the product allows for specific tools to be included in each kit; tailoring certain procedures to the needs of the medical professional using them. However, most people don’t consider that these custom trays actually have an expiration date and there are a number of factors that go into determining what this expiration date will be. Such determining factors are usually put into place by the Food and Drug Administration and followed by the company that is manufacturing the custom trays.

About Expiration Dates

The expiration of any product applies to the amount of time that a product is safe to use and will function how intended. If used after the expiration date is up, this can be a risk to the patient or consumer. When dealing with custom trays, the expiration date usually will be determined based on what exactly is in each tray. Certain items may last longer than others. For example, a tray with metal tools in it will last much longer than a tray that has something like a battery intended for a pacemaker.

What Determines An Expiration Date?

Ideally, items are analyzed in order to conclude when degradation of the products would occur. Degradation is present when there is a risk involved with continuing use of the products. Every product is different when it comes to expiration date so there are not always pre-set parameters that outline how an expiration date should be set. Serious consequences just aren’t worth it in these instances and the kit should either be returned or disposed of. There are typically five different sections that medical-grade products fall into when being assessed and that includes:
-Physical
-Chemical
-Therapeutic
-Toxicological
-Microbiological

Physical Breakdown

Over time, with the packaging or the items in the tray change their composition?
This applies to viscosity, elasticity, appearance, strength, etc. Storage conditions may affect the product integrity and this is often listed on the exterior of the package as it applies to an expiration date.

Chemical Breakdown

A custom medical procedure tray will expire based on ingredients that may be present that are known to break down over time. Also, does the packaging break down over time in a way that would compromise the safety of the tray?

Microbiological

Medical procedure trays must stay sterile in order to be safe to use. Over time, this can change based on storage factors and the amount of time that passes. Sometimes preservatives are used and those have their own expiration date. Sometimes, special inspections need to be done periodically to ensure the sterile nature of the tray is in tact.

Therapeutic Breakdown

When expiration is considered, will the tools or device included in the procedure tray be able to function after a certain point?

Toxicological Breakdown

If the expiration date reaches its full maturity, will the product become toxic or unsafe?

Custom medical trays can be very simple or very elaborate with some trays dealing with minor conditions while others are used for more complex surgical procedures and such. When the expiration date is set according to proper standards and a medical facility follows these guidelines, the tools in the custom trays will work how they were designed. While there are other factors that may go into a natural defect with a tray, shelf life or expiration dates generally mean the product will be structurally in tact when needed.

Benefits of CPT Med

CPTBlog-BANNER-proper-processing-of-custom-trays

Currently, medicine is developing every year thanks to researchers and advanced technologies that deliver better quality care and safer surgeries. Part of letting doctors and surgeons being prepared is having the right tools and this comes through having planned out procedures ahead of time. Furthermore, when a doctor is getting ready to perform their operations, it’s critical to have all the right medicines and tools ready for their specifications.

Have you ever been in a situation where time was critical, and you ask the nurse for a specific tool, and it wasn’t there? In this situation, a patient could die depending upon several factors. Maybe this has never happened to you, but you never know what can happen with human error.

Thanks to custom procedure trays a doctor can everything they need. The reason that doctors have these kits was to allow easy nursing set up for surgery, the ability to save time, reduce overall costs, be in compliance with standards, improve patient outcomes, and maintain sterile tools.

There are many other benefits of custom procedure trays which we will cover in more detail today. Let’s get started!

Variety of Uses for Custom Procedure Trays

The custom procedural tray medicine can easily be carried to a specific procedure, whether its medical, surgical diagnostic, clinical lab environment, or for other research. These custom procedure trays can range from wound care and arthroscopy to saline flushes and C-section set ups. This is based on what you would like based on your customization.

Main Benefits for Custom Procedure Trays

If you currently use staff to organize procedure tools have you ever thought about items that might be missing from the procedural tray that you would like to add? This is one of the greatest benefits of customizing your own custom procedure trays.

Other benefits include:

  • Allows a client to take advantage of products in a crowded market.
  • Allows a client to build a strong marketing relationship
  • Allows client to lock in long-term prices on high-quality custom kits
  • Allows a client to save time, money, and lives in times of emergency

When these kits are put together there is no room for error and all kits being assembled are checked repeatedly. Take that against staff who might have errors when you need a specific instrument in an emergency situation where the seconds count.

Working in a time-efficient world has become the standard for most of us. Being properly prepared will not only help save time and money, but will save lives when it matters the most. With custom procedure trays, you will always be prepared no matter what comes your way.

What is your biggest concern when it comes to custom procedure trays?

Quick Tips on Custom Surgical Trays

shutterstock_121226797

Customized for a number of different purposes and procedures, surgical trays are basically utilized at medical care facilities as a way to carry sterilized surgical instruments. These rectangular shaped tray packs are made of stainless steel and are extremely durable when it comes to being moved around and remaining clean and sterilized. When needed for a procedure, the appropriate surgical tray can be selected and then opened inside of the operating room or location of the procedure. Custom surgical trays can be very convenient for medical facilities as it allows you to select a customized pack of tools that will not only be convenient but also cost effective.

Custom Trays

There are a number of surgical tray companies that allow you to completely customize the surgical trays that you buy for your facility. These custom tailored packages allow you to accomplish a number of things:

  • Custom layering inside each of the packages will provide specific tools needed in a compact space.
  • Custom labeling makes it easy to select the necessary surgical tray and know what is in it when a patient is in need of care.
  • Customizing surgical trays means you can select every last item that goes into your pack. This means if there is a tool that typically isn’t used for a certain procedure but your facility likes to incorporate it, you can include it.
  • Each clinician at the facility can create their own custom surgical trays that will work well for them and their technicians.

Ideally, finding a great company for this use will ensure you see a fast turnaround time and great customer service.
Once you have created your customized packs you can reorder with ease, reducing the time staff members spend on administrative duties.

Surgical Tray Packs

There are a number of customizable surgical trays that you can choose from to get you started. These include the following but are not limited to:

  • Biopsy packs
  • ENT packs
  • Vascular packs
  • Emergency first aid packs
  • Cysto packs
  • Cath Lab packs

Custom surgical trays are ideal for a number of medical facilities. This includes hospitals, surgical centers, ambulatory centers, medical offices, health systems and much more. Rather than needing to order separate and specific products; stocking and organizing your items yourself, custom trays keeps everything safe, clean and in one convenient spot. In turn your staff can focus more on patient care and serving the community without having to worry about restocking items.

Processed vs. Unprocessed Medical Devices

CPTBlog-BANNER-processed-unprocessed-medical-devices

Medical Devices

Medical devices refer to a list of equipment used by doctors, nurses, and licensed technicians every day, in countless numbers medical fields, and in a countless number of situations.

Medical devices can be simple, such as disposable, simple test strips, tongue blades, bedpans, or custom trays, to a complicated and complex heart/lung machine, pacemakers, and everything in between including but not limited to,

  • Electrical Equipment
  • Instruments
  • Appliances made of soft or hard material
  • Custom Trays designed for any number of purposes
  • Monitoring Equipment
  • Life Sustaining Equipment

Medical devices are necessary tools professionals use on patients every day, such as in the following examples,

  • Performing Countless Tests
  • Diagnosing an Illness or Disease
  • Therapy Sessions
  • Prevention of Diseases
  • Custom Trays for many sterile and nonsterile procedures
  • Treating Conditions and Injuries
  • Compensatory Equipment
  • Surgeries

According to the FDA, medical devices are categorized into three divisions Class I, II, and III, (low to high risk.) Each class offers risks and FDA regulations, in regards to safety and the effectiveness each display.

For example, the scope of custom trays in the medical arena number to nearly 2,000 types and designs, in all sizes for sterile and nonsterile procedures.

These custom trays make up specific items used in specific procedures. Each item on these custom trays must have an FDA number and be registered.

Processed Medical Devices

For example, you are a manufacturer and want to introduce new custom trays on America’s marketplace; you must adhere to a series of steps to attain clearance for the medical device to be sold in the United States. The FDA gives you this permission to sell your custom trays in the United States.

Processed medical devices are devices cleared by the FDA for use on patients. These processed medical devices include proper instructions, labeling, corresponding therapeutic product, generic equivalents, and similar equivalents. The FDA has a comprehensive list of all processed medical devices including custom trays.

Each of these processed medical devices met a stringent definition of that medical tool, no matter its use or branch of medicine.

Unprocessed Medical Devices

The FDA considers any medical device that has not gone through the stringent process for registration certification as being an unprocessed medical device, including various types of custom trays.

Medical devices that have not passed through the FDA’s systematic series of actions for certification nor passed a safety test for patient use are considered unprocessed.

Before you put a medical device on the United States marketplace, there are detailed steps you must go through.

When you want to sell a medical device new to the market, you the manufacturer must go through stringent steps to process your their medical device.

These devices can be Class I, II, or III categories. You must file a Premarket Notification with the FDA. While the FDA may not approve this device, the FDA may give you clearance to sell the device in the United States.

If you change a current product such as custom trays, on the market, you must follow this process especially if it changes the way in which the device operates and it’s safety issues.

You must propose the device’s intention for use, design of the instrument, and it’s suitability for the intended purposes as stated. This process helps to categorize the device in the class of I, II, or III. The device receives a specific code and number.

You receive your registration certificate in the form of an FDA post on their government website, for example, your custom trays. This post is your only registration and is now cleared to sell your custom trays.