Implantable Pacemakers & Defibrillators. Surgery in non-operating room settings.
The incidence of CIED infections is estimated at around 3% at one year after implantation, and at 5% at three years, very significant rates and with an increasing trend in recent decades.
Today, the clinical indications for the implantation of CIEDs have significantly expanded, thus recording a significant increase in implants, especially of ICDs, mostly intended for increasingly elderly patients with multiple comorbidities. This has also led to an increase in CIED infections.
The main entrance to the infection is the patient's skin at the time of surgical manipulation. In this way the germs infect the pocket of the generator, and from there they can spread to the leads. The interventions are not carried out in the operating room but in annexed rooms, without specific indications on the sterility of the rooms themselves.
The laminar flow of sterile air is directed and focused in critical areas.
TOUL focused laminar flow eliminates 99.9% of airborne bacteria and microorganisms, including Covid-19 and creates an aseptic area on the operating field and instrument table.
TOUL focused laminar flow creates a physical barrier preventing microorganisms from settling both in the surgical wound and on surgical instruments. The device complies with the strict ISO 5 standard even in moments of intense activity.
For operation it does not require any plant engineering work but only a common socket.