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How do custom procedure trays create cost savings?


Clinical staff in many medical facilities has been heard complaining many times of the disadvantages of the generic procedure trays. Medical facilities have turned to custom trays because they have seen how cost effective they are. No medical institution in the whole world likes to spend more than it should on expenses, and the use of custom trays is one way to make sure that costs are saved. But how do custom procedure trays create cost savings?

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the balance. If someone is employed to prepare these trays to save medical personnel’s time, they will still have to be paid, and that is an extra expense for the facility. Having a custom procedure tray available within the facility will eliminate the wastage of time in equipment preparation and the additional costs of paying a nurse aide’s a salary to prepare the trays every day.

Saves Advertising Costs

When a medical facility staff operates thanks to customized procedure trays efficiently, the clients will be very happy with the medical services. This will eliminate the need to pay for advertising because the medical facility’s services will speak for the facility. Happy patients will no doubt spread the word to other patients who would love to get similar great quality services. In the end, there will be a great influx of patients which translates to more income for the medical facility and a lesser budget for marketing and advertising in the years to come.

Saves Costs for the Patients Too

When many patients are administered to, and they get better quickly in an efficiently run medical facility, they incur lower medical expenses. They tend to spend less on admission and medication since they have discharged quickly thanks to their quickly progressing recovery. Their quick recovery is of course courtesy of happy clinical personnel who have their customized procedure trays within reach and on time.

There is no doubt that custom trays create cost saving in a medical facility. Many clinical professionals who have aired their opinions, have expressed their preference to the custom trays compared to the generic ones.


Dry heat methods for sterilizing custom tray

Provision of sterile equipment is pivotal in centers where health services are rendered. Ranging from dental clinics to other medical establishments, you can bet on the vitality of such a procedure. In dental clinics, the custom tray must always be sterilized alongside other equipment used. The grave repercussions of using an unsterilized equipment can only be imagined. In other terms, a medical practitioner must always ensure that, before any procedure, the instruments to be used are sterile.

Types of dry heat sterilization

Dry heat sterilization methods are of two types: the static air type and the forced air type.

  • The static air type

This kind of sterilization is commonly referred to as the oven type sterilizer. Here, the heating coils which are found at the bottommost part of the unit initiates the rising of the hot air inside the chamber through gravity convection. This dry heat sterilizer is, however, relatively slow in heating and a consequential longer time for sterilization of the custom tray.

  • Forced air type

Here, the sterilizer has a motor driven blower that circulates hot air throughout the chamber. The hot air is blown at a high velocity which makes it possible to transmit the energy faster form the air to the instrument. Forced air type dry heat sterilization method, unlike its static counterpart, ensures that the hot air is spread uniformly throughout the chamber thus making it more ideal.

Factors essential to achieving sterilization

For sterilization to be attained, there are factors that have to be considered some of which are listed below.

  • Temperature

Heat works to denature proteins in bacteria on the custom tray. Essentially, denaturing involves disrupting the hydrogen bonds and thus leading to the death of the bacteria. When the temperature of the autoclave is tuned higher, it reduces the time it would take to sterilize the custom tray. In the autoclave, the temperature of the saturated steam is in direct proportion to pressure.

  • Time

The fundamental goal of sterilization is to kill all organisms. However, all organisms do not die at the same time. This brings in the time factor in during the process of sterilization. Basically, you have to maintain sterilization conditions inside the autoclave chamber for a time sufficient enough to kill the organisms on the custom tray that take a relatively longer time to die. Otherwise, you’d not be killing all the organisms on the equipment.

  • Air removal

Air insulates the surface of the custom tray being sterilized hence preventing it from effectively being sterilized. So to ensure you have done the process optimally, you must see to it that you remove the air from the surface of the custom tray. Failure to remove it, a contamination spot can form on the surface which can be turn out to be dangerous for the patient who would go through the procedure. There are two methods you can use to remove air from the surface of the custom tray: gravity displacement autoclaves and dynamic air removal method.

So in summary, the methods of dry heat sterilization above are selectively applicable in certain instruments. Additionally, you have to work within the manufacturer’s set conditions lest you cause a malfunction of the sterilizer or destroy the custom tray for instance. Not to forget, the success of sterilization will depend on whether or not you have followed instructions.


Here’s What Comes in a Procedure Packs

Low angle view of four surgeons bending over the patient during operation

Image is from www.huffingtonposst.com

As doctors and surgeons know that having the right tools is critical, particularly when going into an operation. Many times, staff may sterilize equipment before surgery as this is needed. The surgical pack takes the hassle out of dealing with equipment that needs to be sterilized because it comes prepackaged like this. However, both doctor’s offices, clinics, and hospitals that perform surgeries are always curious to see what is included in the basic surgical pack in order for them to ensure they have all the correct tools for the procedure they will be providing. Today, we will look what’s inside the surgical pack. Let’s get started!

What’s included in the Procedural Packs

Procedural Packs generally contain the medical equipment that is needed for one procedure and then can be disposed of. There are a variety of procedural packs available for a variety of uses based on the type of surgery procedure you will need it for.

The general procedure packs can cover a wide range of surgeries from rhinoplasty and face lists, to tracheotomy and varicose vein removal. The general procedure pack includes the following:

  • Absorbent Towels
  • Table Covers
  • #10 & #15 Blades
  • Bulb Syringes
  • Cautery Pencil Holster
  • Drape Flats
  • Drape Lapotromy
  • Drape Utility with Tape
  • Electric Needle
  • Gauze
  • Gowns
  • Lap Sponge
  • Mayo Stand Cover
  • Medicine Cups
  • Needle Counter
  • Magnets
  • Ring Basin
  • Skin Marker with Ruler
  • Specimen Cups
  • Sponge Bowl
  • Suction Tubing
  • Suture Bag
  • Syringe 10cc L/L & 20cc L/L
  • Yankauer Bulb tip, Non-Vented

Other Surgical Pack Options Available

When you go into surgery, you might need something a bit more specific than what’s in the general procedure packs. When you look at the surgical pack, they offer specifics such as the following options:

  • Labor and Delivery
  • Cystoscopy TUR
  • Nose and Throat
  • Shoulder Arthroscopy
  • Extremity Podiatry
  • C-Section
  • Knee Arthroscopy
  • Vaginal Delivery
  • Otolaryngology

How Does the Surgical Pack Save Time & Reduce Costs?

Surgical procedures may be carried out in a number of different facilities and in all these scenarios, a sterile environment is needed. The concept of supply standardization is applied to a variety of organizations and as a result gives each location cost-reduction principle. Standardization saves time, which contributes to saving money as well.

Each one of the procedural packs is designed for the specific procedure you will be performing. Both doctors and nurses have been using these items for years to keep clinical accuracy at its peak. All packs are latex free to minimize patient and staff allergic reactions and are packaged sterile.


It’s not hard to see why so many doctors, surgeons and nurses use procedural packs when they are about to undergo a procedure. Not only does the surgical pack provided a safer procedure, it saves time, and money as well. Typically if you can’t find the right procedural kit you’re looking for, companies can customize a kit for you according to your request.

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.

What is the Order of Operations for Custom Tray Processing


Processing Custom Trays Correctly

Processing custom trays requires six primary steps:

  • Getting A Custom Tray Series Commissioned
  • Proper Sterilization
  • Packaging
  • Safe Storage Of Trays
  • Continual Monitoring of Trays
  • Final Disposal

The Commissioning

First, you should determine your needs as regard surgical trays. What kind of trays are necessary, and what kind of unique items would you like included in them? How many will you need, and will you have more than one series to maintain operations should the unthinkable happen? Once you’ve properly configured your needs, then it’s time to commission an order.


A tray that hasn’t been sterilized is a tray that you cannot use. This is an integral component of the custom tray. Custom trays are often sterilized through several different procedures. Which is used for your specific custom trays may depend on the organization from whom you commission their development. It makes sense to order custom trays from a group whose methods you find suitable to your practice. Most will be transparent in this area, so feel free to ask how their sterilization procedures work.

Ensuring Proper Packaging

Packing for custom trays is integral to their successful deployment. You’re ordering trays that won’t just travel from the place where they were put together and sterilized, they’ll have to remain sterile until it’s time to use them. This means they must be optimized for storage such that they can stand to be idle for long periods of time. When you choose a custom tray provider, you should be sure that they provide top-tier packaging. Such packaging must additionally match the idiosyncrasies of a given tray. A procedural pack for spinal work will be different than that used in orthodontia; but both custom trays need to be rugged and able to remain clean with storage.

Facilitating Storage

Find an open room where trays can be stored without being too near the walls or the ceiling. Walls are going to have varying microbial and insect life near them, the ceiling may leak. Even in secure environments, both areas are weak points to a room’s sterility. Consider tray idiosyncrasies as well. There are certain trays that cannot be stacked one atop the other, as they’ll end up compromising each other’s sterility. The last thing to consider is how accessible said packages are. You’re going to need to monitor them before they go to surgery.


Between microorganisms, insects, and other life too small for the eye to readily detect, there are a ubiquity of compromising factors which could inhibit your custom trays. Leaks, as mentioned previously, may come from the ceiling. If you can devise a covering to protect custom trays against this, it’s certainly recommendable. But even if you have the perfect storage environment, you’re going to encounter individual changes. Maybe some equipment was being moved and knocked through the storage door, contaminating the trays. Anything could happen, so be sure you monitor the trays you’ve purchased very closely.

Final Disposal

After trays have been used, they must be completely disposed of; and in a way that’s preferably not harmful to the environment. Hazardous materials must be handled accordingly; especially as many of them will involve organic contaminants.

A Final Consideration

Once you’ve figured out how many custom trays you will need, you’re going to want a second tier of them in storage in case you over-reach said need. Economic crisis can diminish patients, economic stimulus can multiply them, and disaster can exponentially increase them. Three tiers of trays is recommendable for the most trustworthy stability in operations.


Reduce Orders and Administration Costs on Custom Procedure Packs


Surgical Packs Save Lives

A surgical pack that has been custom-designed for specific surgeries can save time and money. Advantages of the custom made surgical pack include administrative savings, increased response times in emergencies, and the establishment of greater staff utility through increased availability.

Buying In Bulk

Bulk orders are usually going to net you some type of discount. Consider that you may need enough packs to last for your clinic’s regular operations cycle. Then accordingly, you need a line of backups in the event operations become more expansive than initial projections. Reasons increased purchases become necessary can be linked to:

  • Pandemics
  • Medical Trends
  • Legal Necessity
  • Declining Societal Health

In times of economic decline, health tends to wane among the population as a whole. In order to save money, people will often to allow their varying conditions to snowball until they’ve got no recourse but to seek medical attention. In such cases, a professionally prepared surgical pack could very well be the difference between life and death. So you’ll need two groups of surgical packs as a base-line measure of operational security and community health. It makes sense to purchase a tertiary group of these packs as well, in the event some shortage makes itself evident. Generally, the larger your surgical pack order, the less you’re going to pay.

Establish A Regular Procedure Of Purchasing

If your practice is going to remain viable, it must continuously serve the community. The surgical pack is a core element of operations, and so should be purchased on a cyclical basis. Establish what your needs are in a month, then triple that number for unseen exigencies. Once you’ve done this, you’ll have the three generations of surgical pack previously discussed. Then, when it comes time to replenish your supply, you’ve only got to replenish the primary “generation”–i.e., the packs that are commonly used in practice. You’ve already established several other tertiary pack families, so if demand gets high, your practice won’t be in the lurch. Once you know your numbers, define an automated purchase. Every month at scheduled a time, an automated order goes through the internet airwaves, reaching the group who sends out the packs. They send the next month’s supply, and you’ve always got options.

Ensure That Your Surgical Packs Are As Ordered

Another reason to order several iterations of surgical pack has to do with ensuring quality. 99.9999% of the time, you’re going to get exactly what you ordered. But human error and Murphy’s Law certainly play a part in the .0001% of the time you don’t. If you’ve always got backup packs, then should an order be shipped to the wrong clinic, no patients will be put at risk.

Fully Streamlining Operations

Between buying in bulk, establishing a regular purchasing procedure, and ensuring that the right surgical pack has been sent en masse to your establishment, you reduce expenses involved in the ordering and administration costs which concern custom procedure packs.

How Custom Procedure Packs Reduce Emergency Surgery Response Times


An Emergency, No Matter What Level

In the health profession, every emergency surgical procedure performed requires different medical instruments and tools. An emergency can be life-threatening where time is of the essence, or the situation is still an emergency, but there is time to treat the patient.

It makes no difference if the individual is already a patient in the hospital or awaits care in the hospital emergency room; time is of the essence in any urgent medical situation.

Who Uses Sterile Procedure Packs?

Each emergency requires a different set of medical tools and equipment to meet the emergency situation at hand. For instance, if the patient needs stitches the doctor would not use the same instruments for a patient requiring a tracheotomy. A surgical pack necessitates care in the following atmospheres.

  • Hospital emergency room
  • On the hospital medical floor
  • In the surgical operating room
  • On emergency ambulances
  • Extended care facilities
  • Doctors’ offices
  • Medical clinics and more
  • Podiatrists
  • Dentist
  • Eye clinics

Benefits of Using Prepackaged Procedure Packs

Individualized and specialized tools found in a surgical pack expedites the patient’s treatment. If it were not for a particular surgical pack already made up and designed for specific emergency situations, the professional would have to hunt for each tool to meet the situation at hand.

A surgical pack allows for all tools in one single sterile package. The medical professional does not have to hunt for and gather the needed tools together when time is of the essence.

The benefits to having a sterile surgical pack ready for hospital personnel are as follows.

  • Saves the hospital time and money
  • Saves the doctor and nurse time
  • The patient receives the needed care promptly
  • Increases efficiency
  • Increase quality of patient care
  • Allows for better inventory management of medical equipment and the cost of using these tools for each procedure
  • Significantly reduces the amount of storage needed for equipment
  • Increases medical emergency response times

Autoclaving a Thing of the Past

Years ago hospitals sterilized all of their medical tools and equipment through a process called autoclaving. A sterilization room with autoclaves was where these packs were put together to store in moment’s notice.

Medical Manufacturers’ Role in Procedure Packs

These days’ medical manufacturers receive orders from health facilities to design and put together a particular surgical pack for all sorts of medical emergencies. The manufacturer is always looking to the medical community for support on how they can put a surgical pack together more efficiently, in a cost-effective manner.

It is through the efforts of the health community and health manufacturer they can provide to doctors and nurses the right surgical pack for the right time and place.

A pre-packaged surgical pack is all set and ready to go with all the necessary sterilized tools needed to meet all emergencies. Those appointed the responsibility of ordering a surgical pack no longer have to account for every item or order each item individually as that person can now order the complete surgical pack.

What is Included in Procedure Packs

The list of sterile tools that medical professionals use every day is enormously wide and varied. The list below is just a few of the items found in a surgical pack.

  • Surgical swabs
  • Suture
  • Suture needles
  • Forceps
  • Dressings
  • Surgical blades
  • Sterile field drapes

Thanks to the combined efforts of medical professionals and manufacturers, a surgical pack has all the tools for the medical professional to meet the surgical needs of all patients.


Benefits of Standard Packs


The 21st Century
There are more people on the planet than in recorded history, and medicine is ostensibly at a zenith of effectivity. Increasing that effectivity requires innovation and progress. One of the most progressive, innovative new ways practices around the world are becoming more effective and efficient is through utilization of custom procedure trays, or standard packs. Custom procedure trays and such packs save a lot of time and effort, and can be exceptional benefits when there’s a massive influx of patients. Following are five prime advantages of this new innovation.

Efficiency Increase
With standard packs, you’re going to have an up-spike in efficiency. Custom procedure trays, also provide operation-ready equipment that’s been pre-sterilized and is immediately available. This means quicker operations and more effective use of time.

Exceptional Cost Savings
Custom procedure trays diminish time loss. If it takes even five minutes to make a tray ready for surgery, and there are a hundred needs for such a tray in a month, that’s 500 minutes a month, or eight hours and twenty minutes. At the end of a year’s time, a hundred hours have been spent on trays. If the employee time involved is $20 an hour, that comes to $2,000. Meanwhile, custom and standard procedure trays literally eliminates the majority of that cost.

The Value Of Product Standardization
Customized procedure trays feature products that have been standardized, and are subject to the rigors of that process. They will include only vetted tools and their hygienic decontamination will be subject to the highest scrutiny. Additionally, this ensures that the finest brands have a vested interest in ensuring you receive your custom procedure trays without incident.

Supply Consolidation Made Simple
With customized and standard procedure trays, you can keep all your ready-for-surgery equipment in a single place, and know that it will be safe. It makes sense to order several series of trays, this way you’ve got a backup in the event there’s some substantial emergency that requires it, and you’ve also got insurance against a misplaced order from the agency.

Inventory Management That’s Manageable
Custom procedure trays, beyond consolidating supplies, makes cataloguing them much less difficult. It’s going to take time to chase down where certain implements are, and if trays are constructed on-site, these could end up being spread just about anywhere. But you can cut down on such instances by knowing all necessary equipment is in a bevy of pre-prepared trays which are just awaiting to be used.

An Eminently Recommendable Option
With custom and standard procedure trays, the bottom line is saving and improving the healthcare of patients, in the most economical way.

  • Manageable Management of Inventory
  • Proper Supply Consolidation
  • Valuable Product Consolidation
  • Exceptional Savings
  • Increased Efficiency

There are a lot of reasons to make this switch, not least of them the security of knowing that a given clinic is ready to render the finest possible support at an unexpected notice. While it makes sense to have some kind of hygienic decontamination procedure on-site, the time it takes to use such measures on a regular basis makes the method less than ideal. With custom and standard procedure trays, there can also be the savings of the evaluation of antiquated hygienic methods.


When is the Trade Agreements Act (TAA) applicable in the production of surgical trays?

What Is The TAA?

The Trade Agreement Act was passed on the twenty-sixth of July, 1979. It was a congressional act whose purpose primarily pertained to negotiations made between the United States and foreign powers as regards trade agreements. Specifically, the trade act of 1979 governs agreements which were made between the US and other countries during the Trade Act of 1974. The purposes of this act are mainly implementation of 1974 agreements, but the act still has effect today. This is because it was also designed to help open up the trading system of the world with expanded commerce opportunities conducted under improved international trade regulation and enforcement. While written with open language, this language can have a restrictive nature when it comes to the acquisition of goods or services that will be used in federal contracts. This happens when those managing a project decide to run it through a TAA compliance check. Generally, products remain compliant so long as they’re manufactured in either the US or one of a list of designated countries that are allowed. The complete list of countries can be obtained from the Federal Acquistion Regulation (FAR) 52.225-5.

  • Canada
  • Mexico
  • Singapore
  • Australia
  • Countries in the WTO GPA (World Trade Organization Government Procurement Agreement)
  • Afghanistan
  • Bangladesh
  • Laos
  • Ethiopia
  • The Caribbean Basin (Aruba, Haiti, Costa Rica)

How Does The TAA Pertain To Surgical Trays?

So long as surgical trays you’ve purchased are produced in any of these countries, they should, by default, be TAA compliant. The difficulty comes with the implements that are contained in those trays. Sometimes medical breakthroughs come in the form of a new surgical tool that just hasn’t made its way into mainstream. In order to be sure that all equipment on your custom medical trays passes a TAA compliance check, you need to know that the vendors of the tools you’re purchasing have updated part numbers for their products in the DAPA Management System. Information to be included in the update pertains to the country from which a given product has been sourced.

Maintaining Health Requires Direct Attention

The health of your community could depend on whether or not you’ve received the proper order of custom surgical trays. Such trays are usually sterilized beforehand, and are already configured in ways surgeons can immediately utilize. Streamlined surgical tray procedures can facilitate quicker operation, leading to faster recovery and better health over time

When does a custom medical procedure tray expire? What determines the expiration date?

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?


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.