latex gloves make great balloons but they make lousy probe covers. introducing sure, exam gloves are always close by, but using one as a probe cover is awkward, especially with a large 3d/4d probe. they also allow for wasted ultrasound gel, make an incredible mess, and if the glove is latex, it may cause an allergic reaction in patient, clinician, or both. you, your ultrasound probe, and most importantly your patient deserve better. the eclipse® 3d, parker’s newest probe cover, was designed solely for 3d/4d probes. save the gloves for their intended use or for decorating the next office party. our newest probe cover was specifically designed to accommodate larger 3d/4d ultrasound probes. and like our original eclipse® probe cover, eclipse 3d is latex-free and conveniently pre-gelled with aquasonic® 100, the universal standard for all medical ultrasound procedures. iso 13485:2003 © 2016 parker laboratories, inc. visit us at hall 9 stand d41 eclipseprobecover_medica_2016_101116.qxp_eclipse probe cover - medica 2016 10/11/16 4:53 pm page 1 acem s.p.a. hall 10/ stand e31 asked what role big data will play in the operating room (or), professor hubertus feußner said that, at this point, ‘big data simply means we will have to deal with data volumes that do not grow in a linear manner, but will reach entirely new dimensions. ‘we are increasingly faced with the fact that we need more and more – and above all reliable – data in ever shorter time frames. case in point: teleconsultation. the external expert assesses the site via a video camera and offers advice and maybe also physically intervenes and can thus significantly influence the pro- cedure. in such a scenario, there must not be the slightest delay in data transmission, as the surgeon needs the required data instantaneously, and reliably. ‘the next data processing level is telesurgery – a still controversial idea. it’s not new; 15 years ago professor jacques marescaux per- formed the so-called lindbergh oper- ation. however, due to prohibitive costs and unreliability telesurgery has not yet conquered surgical routine; but this might change with reliable and affordable 5g solutions and this might indeed enhance surgery in certain cases. thümmler: ‘let’s not forget industry 4.0, which is making inroads in healthcare. the degree of personali- sation that industry 4.0 will bring will not only enhance surgery but also my own discipline – internal medicine. with regard to catheter exams this means that we don’t have to use previously acquired images, but that specific algorithms allow us to ana- lyse images immediately on site. ‘with algorithms that detect more detail than the human eye, we can compare real-time images with previ- ously acquired images. that’s a quan- tum leap. however, enormous data volumes will have to be processed which requires next generation net- work technology, such as 5g.’ is that where the cloud comes in? thümmler: there is no such thing as “the” cloud but many different kinds of clouds. public clouds, such as those we know from amazon or google; private clouds that we install at home, or hybrid clouds that are a mixture of both. we have to clearly differentiate here. for healthcare, the public cloud is utterly unsuitable because the privacy of the patients and the hospital staff as well as the hospital’s business secrets cannot be sufficiently protect- ed. on the other hand, the idea that we feed all data in one huge platform that can be accessed by everybody is unfeasible, as is the idea that we exchange data without the patient’s explicit consent. software-to-data is a strategy that is worthwhile consid- ering. it means that algorithms and software elements process data on site.’ in the or the surgeon receives many radiology and lab data. are data also sent from the or straight to the cloud? feußner: ‘basically, only for teach- ing purposes or to obtain an outside opinion. the majority of the data volumes are created during intra-sur- gery tissue differentiation. in cancer surgery, particularly, it’s very difficult big data, automation, and artificial intelligence – no doubt, all these developments will have an impact on surgery. during our interview, professor hubertus feußner, head of the interdisciplinary research group ‘minimally invasive interdisciplinary therapy intervention’ at the technical university munich, germany, and professor christoph thümmler, professor for ehealth at edinburgh napier university, edinburgh, scotland, spoke of the role of big data and cloud computing in surgery, and intelligent devices that will fundament- ally change surgery. they also explain why, despite technological progress, robots will not make the human surgeon obsolete. robots will not kill off human specialists s p e c i a l i s s u e : m e d i c a l , t e c h n i c a l , p h a r m a c e u t i c a l , i n d u s t r i a l n e w s dusseldorf • tuesday • 15 november 2016 @ medica 15 november 2016 an autonomous ‘surgeon’ will not be developed for at least another 20-25 years 2 www.healthcare-in-europe.com a graduate from philipps university, marburg, germany, professor hubertus feußner md has pioneered minimally invasive surgery, with the focus on visceral medicine. in 1999 he founded the interdisciplinary research group ‘minimally invasive interdisciplinary therapy intervention’ (miti institute), which he heads today. he has also published ground-breaking work on medical technology, as well as laparoscopic and scar-less operations. professor christoph thümmler md is a specialist in general and internal medicine and professor of ehealth at edinburgh napier university. in the 1990s he was already specialising in electronic healthcare systems and, for a number of years, has been expert at a european level for the internet of things and healthcare information and communication technology. the 5g for europe action plan continued on page 3 eclipseprobecover_medica_2016_101116.qxp_eclipse probe cover - medica 201610/11/164:53 pm page 1

tuesday @ medica 3 actionable intelligence to guide your decisions philips omnisphere business optimization tools offer you the information and connectivity you need to help manage your department, maximize your resources, and improve your workflow. visit us at hall 10, booth a22 to learn more about how omnisphere can work for you. www.philips.com/omnisphere hands on the master controls of the surgeon’s console and operative screen eh @ medica no 2 2016 ed by intelligent systems or coopera- tive devices.’ thümmler: ‘we are talking about cyberphysical systems that link the real and virtual world and communi- cate with each other in real-time. in the virtual world, we are dealing with algorithms and databases, in the real world we are dealing with the sur- geon in the or. if we can construct systems that activate knowledge in real-time, we are coming pretty close to surgery 4.0.’ we have big data and the cloud; very soon we may have learning software and algorithms. do we still need a surgeon if we can pro- gramme a robot with the neces- sary knowledge – and a robot that could learn from our experience? thümmler: ‘current surgical robots are more or less the surgeon’s extend- ed arm, who still has to treat the patient one to one. that’s an impor- tant aspect in the current debate. at the end of the day the surgeon is not superfluous. indeed, sometimes it is more tiresome to work with the da vinci robot.’ feußner: ‘the term robotics is diffi- cult as it conjures up images of metal and plastic. we should rather call it support or assistance systems or, to use robotics terminology, mechatron- ic assistance systems. their role is not to passively perform commands, as with the current master-slave sys- tems, but to work autonomously or semi-autonomously to a certain degree. the system should be able to do the surgical drudgery – tasks that are tiresome, boring or time-consum- ing, such as tying a surgical knot. with the current systems i basically have to tie my fingers into a knot first in order to tie the suture into a knot. it takes forever. if i could ask a future system to tie a knot, that would be a major help. these things are conceiv- able. such skills can be learned with the help of deep learning procedures in robotics. ‘having said this, the “driving” surgical robot – the robot that acts autonomously, will not be developed in the immediate future, at least not for another 20 to 25 years. after all, surgery is a biological process that is often performed under highly dynamic and unpredictable circum- stances and will continue to need human intervention for many years to come.’ © 2016 intuitive surgical, inc. © 2016 intuitive surgical, inc. normal 3-d hd illumination mode (view of renal hilum) during da vinci partial nephrectomy continued from page 1 robots will not see off human specialists ons new breed of uters ties to enable hospitals and clinical institutions to deliver the highest quality and optimum patient care in various hospital environments’. the company’s stc series ‘lev- erages the smarc computer-on- module concept to provide users a range of solutions with proven performance and the flexibility to tailor their system to meet specific requirements. stcs are available with multiple cpu types, including arm-based (stc-1006/1206/1506) and x86- based (stc-1005/1205/1505) plat- forms, allowing users to choose the performance level and operating system that fits the needs of their applications.’ details: www.adlinktech.com ica 58 eh @ medica no 22016

tuesday @ medica 5 medica hall 10 / g39 www.fsnmed.com usa • korea • united kingdom • germany • china fs-p3101d extraordinary 4k uhd resolution. this monitor helps doctors see critically important details, and is ideal for boom arm mounting. more integrated or solutions from fsn… • surgical video control • recording and archiving • video over ip • optical fiber • wireless • signal conversion fs-l5502d experience the ultimate in large screen, ultra high definition medical images. built-in technology has screen layout options including picture-in- picture, picture- by-picture, and quad image. take the next step in surgical display innovation. show 4 high definition signals simultaneously. fs-p2607d life-like 3d visualization coupled with fsn reliability and compatibility. half vert medica-2 2016.indd 1 10/7/2016 10:16:03 am www.pelicanfh.co.uk gynaecology & obstetrics innovative single-use solutions visit us in hall 16/f42 medica 105x70mm_aw1.indd 1 18/08/2015 11:06 eh @ medica no 2 2016 the italian firm acem medical company pro- duces an impressive range of medi- cal lighting, sharing the firm’s special led optics to generate a shadow-less, clear and homogeneous light. the model starled5 nx is no exception, generating an ir-free light, excellent colour temperature and a practically endless life cycle at low consump- tions, the manufacturer reports. ‘the 43 leds that make the starled5 nx are circularly positioned and divided into five reflectors (with seven leds each) and other eight leds are radially placed around the handle. in this way, the lamp produces a high illumina- tion level of 130,000 lux (160,000 lux optional) for a steady life cycle of about 50,000 hours.’ a full 4k-ultra-high-definition cam- era designed to capture video of sur- gical operations is making its debut at medica. ikegami, its manufacturer, points out that the model is also ideal for attachment to microscopes or endoscopes. this 4k-native camera incorpo- rates a 4k-native 3840 x 2160 pixel cmos optical sensor achieving a very high horizontal reso- lution inspired by management practices in the pharma industry and influenced by increasing concentration (mergers & acquisitions), managers at all levels in med-tech companies are heavily relying on robust data and insights for planning and decision-making, writes natalie christie, represent- ing the business development sec- tion of tforg group, which provides business intelligence (bi) and deci- sion support to international med- tech businesses. ‘its unique focus is the medical devices and medical technology markets within a hospi- tal context,’ the company explains. ‘in a world where information is readily and publicly available,’ she writes, ‘marketing directors, as well as product managers, develop their own business intelligence (bi) activ- ity, enhanced by commercial plat- forms, reports and customised mar- ket research.’ ‘market information is every- where: exhaustive healthcare mar- acris ensures, by the use of a microprocessor, control of electrical curves typical of leds remain unal- tered over time but maintain a long life cycle. the colour rendering index of this lighting is 95 and colour tem- perature 4,500°k. these two values allow the exact chromatic scale of the colours of the human body to be reproduced, the firm points out. focused and ambient light to achieve the right illumination to meet different needs this model can produce either focused or ambient light: ‘the light field focusing system adjusts the light spot diameter accu- rately, assuring an excellent sharpness of details in the operating area,’ acem adds. ambient light is managed by the endo function. this technology allows of 1800 tv lines, very much higher than that of 1920 x 1080 pixel hd cameras, the firm adds. ‘sensitivity is 2000 lux (at an aper- ture of f/5.6 and 3.2 k colour tem- perature), allowing effective image capture in a wide range of light- ing conditions. uhd tv output can be provided as quad3g to match customer requirements, including optional hdmi 2.0, 12g or ip output, pending confirmation of an estab- lished standard for uhd equipment connectivity.’ images can be uhd and full hd, allowing use with existing hd monitors as well as uhd displays. ‘an integral image cor- rection function enables the camera to express high image reso- lution in detail,’ ikegami continues. ket information on almost everything (care providers, specialisms, products and innovations, companies, legisla- tion and regulation, reimbursement, etc.) and is easily retrieved by search engines from articles, publicly avail- able databanks, company websites and other sources. ‘however, professionals heavily depend on the reliability and effec- tiveness of the information collected for the quality of their decisions. this is time consuming and most of the data found is irrelevant, or useless, or the value is hard to qualify; colleagues can end up with different data and visual comfort as well as a correct vision of the surrounding environment thanks to its particular light beam coming from the upper part of the lamp. starled5 nx is particularly suit- able for minimal invasive surgery and is ideal for preparation and treatment during the operation, monitoring the patient and microscope operations.’ practical and functional design acem adds that the model’s remov- able, sterilisable central handle can house a video camera for on demand shooting the surgical operations accu- rately (the video camera can be placed on a separate arm alternatively). ‘the lamp shape assures visual comfort and is particularly suitable for laminar flows in the operating room. all the functions of starled5 nx are man- aged by the handy, digital and easy- to-read i-sense control panel posi- tioned on the cardanic structure.’ www.acem.it ‘also included is a gradation cor- rection function which delivers high contrast without over-exposure or black-crushing. ‘structurally, the 4k-native cam- era consists of miniature head with integral optics. the head connects via cable to an ikegami mains-pow- ered camera control unit (ccu). the camera and ccu have an antibiotic coating to assist infection control. all major camera functions, plus the ability to record video and capture still images, can be controlled from the front panel of the ccu. ‘the ccu itself is based on the same control board as the estab- lished mkc-750uhd pixel-offset 3-cmos medical grade camera, pro- viding essentially a universal platform for future cameras in this product range,’ the manufacturer explains. * the new camera will be available in 2017. www.ikegami.de/medical.html argue over which to use or, finally, the information retrieved is lost after use and invisible to the rest of the com- pany. new market research med-tech solutions surface,’ she points out. the good news is that new bi platforms are being developed and brought to the market, which assist these emerg- ing bi needs and avoid the challenges mentioned above. ‘they typically provide a single access point or a department, or firm; integration of proprietary data and better use of available data (internal/ external) by modelling, algorithms, etc.; a selection of data relevant for a specific business segment and that supports typical decision processes, and finally, a format allowing an easy comparison of data between coun- tries, segments, etc.’ med-tech firms can compile their personal ‘medtech bi dashboard’ at tforg.com/mytools. natalie christie is available at medica: phone: +32 3 201 64 25 lighting up the operating theatre 43 leds shadow- less lamps new: the medical grade 4k-native uhd camera information is everywhere - intelligence is another story acem is at medica hall 10 / stand e31 » ikegami is at medica hall 10 / stand b12 » natalie christie half vert medica-22016.indd 110/7/201610:16:03 am medica 105x70mm_aw1.indd 118/08/201511:06 eh @ medica no 22016 medica: phone: +3232016425

tuesday @ medica 7 scan the world of healthcare with just one click ŵljdžžůɛĩžƌ'ƌžǁƚśžĩĩğƌɛăɛğƚžĩěăƚăƚśăƚđăŷďğăđđğɛɛğěžŷůŝŷğŝŷăŵžěƶůăƌăɖɖƌžăđśďăɛğěžŷljžƶƌɛɖğđŝĩŝđŷğğěɛăŷě ƌğƌƶŝƌğŵğŷƚɛ͘ ůůěăƚăŝɛăǀăŝůăďůğƚśƌžƶőśŝŷƚğƌăđƚŝǀğǀŝɛƶăůăŷăůljƚŝđɛƌğɖžƌƚŝŷőăŷěŝɛƶɖěăƚğěğǀğƌljljğăƌ͘zžƶđśžžɛğƚśğŵžěƶůğɛăŷěůŝđğŷɛğɛ ěğɖğŷěŝŷőžŷljžƶƌŷğğěɛ͘ tforg healthcare scan  ^k/kͳkekd/deed/ke> zwzks/^/ked  ed/ke>>e^we,>d,z khd>/eͳkhedzzzwkzd^  kdwz>d&kzϰϰkhedz/^ ;h^θ:wes/>>&zkdϯϭϭϳͿ surgical procedures volumes  ϭϭϭϭ/edzsed/ke^/eϭϯ^w/>/^d^ o /eͳθdh>dkzzs^͘khdͳ wd/ed o kwes^͘d/e/d>ͬekeͳ/es^/s  >h>d/ke^k&z'/ke>''z'd^ tforg care track  'd/e^/',d^es/^h>ezzd/s/e ,ktzkhezkhzwzkhde s>hdkd,z>/szz,/e  /ed/&z^dzd'/wzddz^>/< /^/kez/sz^͕/^/ked</e' he/d^͕ydze>/e&>he^ey/^d/e' kdd>e<^ ^ƚăƌƚljžƶƌ&zƚƌŝăůƚžěăljăŷěđžŵɖŝůğljžƶƌɖğƌɛžŷăůŵğěƚğđś/ěăɛśďžăƌěăƚƚĩžƌő͘đžŵͬŵljƚžžůɛ eh @ medica no 2 2016 the bed – such a vital part of patient care and a nurse’s tasks. good sleep hastens recovery. bedsores do not; they also add significantly the healthcare costs, not to mention patients’ despair. rober, a company in the united kingdom, is pioneering the develop- ment and manufacture of mattresses with ‘zero pressure’ technology, having invested heavily in r&d in the last few years. the result is a complete range of pressure ulcer mattresses that cater for various needs, including those of patients who are immobile, bariatric or have existing pressure injuries. ‘developed in conjunction with clini- cians, the mattresses feature clinically proven technology that prevents pres- sure injuries from developing. they also have therapeutic properties that promote the healing of established ulcers,’ rober reports. the fully auto- matic mattresses mean that patients nursed upon them need less frequent manual repositioning, thus relieving nurses’ physical strain. ‘rober’s mattresses, overlays and cushions have been developed to rep- licate the body’s natural movements by responding to a patient’s weight, spontaneous movement pattern and body position,’ explained mike hutson, chief executive of rober. ‘they provide enhanced comfort and complete pres- sure elimination at regular intervals.’ details: www.roberlimited.com. service (nhs) hospitals, as well as many clinics internationally, as an adjunct to the current diagnostic pro- cess to offer a more accurate diag- nosis in real time and assist clinicians with improved patient management. zilico is now widening its global footprint and seeking to work with experienced partners across different countries. details: www.zilico.co.uk be less dramatic. the new technol- ogy is a kind of safety valve: instead of disinfecting hands 60 times a day it can be done every 20-30 min- utes instead, because the surfaces will remain self-disinfecting for many years.’ to achieve this, there is no need to refurbish the entire hospital because the zinc molybdate can be applied retrospectively as a transpar- ent film to telephone receivers, furni- ture and fittings etc. like any normal lacquer. guggenbichler already discovered this mode of action around ten years ago. but his discoveries really gath- ered pace since his retirement from the hospital and the foundation of the start-up company amistec, and patients will soon benefit from this. paints and lacquers for large med- ical devices are now ready for use. however, the possibilities go way beyond this; airline seats, car air conditioning systems, shower trays and even underwater power cables will soon be self-disinfecting. we can only hope that hospitals will not miss the boat. with the rapid increase of multi-resistant pathogens and talk of the post-antibiotic era, there is an urgent need for action in the preven- tion of infection. details: www.krankenhaushygiene. d e / i n f o r m a t i o n e n / h y g i e n e - t i p p / hygienetipp2015/557 lessening nurses’ physical work and patients’ potential bed sores uk’s pioneering pressure mattress solutions traepithelial n professor josef-peter guggenbichler studied medicine at the university of innsbruck and qualified as a paediatrician at the mayo clinic, rochester, minnesota, usa.after his return to austria he became a professor at the university of innsbruck (1980-90) and then he worked as an extraordinary professor at the department for infectiology and preventative medicine at the children’s hospital, university hospital erlangen, germany (1990- 2009). guggenbichler holds more than 30 patents for the antimicrobial impregnation of surfaces and is cofounder and managing director of the start-up company amistec (www.amistec.at) founded in 2011. rober is at medica hall 16 / stand g20-2 » delivering greater care control over immobile, bariatric and ulcer patients eh @ medica no 22016

tuesday @ medica 9 visit us at m edica hall 3 stand a08 #futurediagnostics shaping the future of clinical diagnostics providing you with true third party quality controls & biochemistry reagents, the rx series of chemistry analysers and biochip multiplex testing. randox.com/future-diagnostics medica advert - oct16.indd 1 28/10/2016 10:22 eh @ medica no 2 2016 new criteria used as an initial screen- ing tool in the emergency department need to be re-evaluated, a specialised surgeon will highlight in a dedicated talk during the spanish national con- gress of surgery this november. in spain sepsis affects 50,000 people and is responsible for 17,000 deaths each year (the third international consensus definitions for sepsis and septic shock (sepsis-3). jama. 2016 feb 23;315(8):801-10). early detection of infection, before patients must be admitted to intensive care, is essential to trigger appropriate treatment and improve outcome. a commonly used strategy among doctors to identify a suspected infec- tion and evaluate severity has been to use criteria defined by experts. the systemic inflammatory response syndrome (sirs) criteria, which rely on the degree of hypoperfusion and inflammatory response to determine the presence and degree of the infec- tion, have long served as a refer- ence in clinical practice and research. however, many practitioners have insisted the sirs are not sensitive and specific enough. in fact, the contro- versy over these old criteria pushed the international consensus responsi- ble for setting sepsis criteria to issue new measures earlier this year. these experts updated the defini- tions by putting the focus on low blood pressure, high respiratory rate and altered mentation as means to recognise sepsis and septic shock for patients inside and outside the icu. the new criteria have been named the qsofa (quick sofa score), and many thought they would help gain time in patient management. however, the authors of a more recent study have concluded that the qsofa does not help to evaluate patients in the emergency department who are not yet in need of critical care (qsofa, sirs, and early warning scores for detecting clinical deterioration in infected patients outside the icu. churpek, snyder, han, sokol, pettit, howell, edelson). thus things are back to square one and there hasn’t been much progress in speeding the identification of effec- tive criteria for early diagnosis, dr ines rubio-perez from la paz hospital in madrid, explained. ‘the change of parameters was meant to improve everything. but, according to the new study, the qsofa are not that good in diagnosing patients on time; actually if you have to monitor altered menta- tion it means it’s a little late already,’ she said. ‘qsofa detect mortality very well but they are not early criteria. so there’s not much difference between the old and the new, and many peo- ple are discussing the utility of these criteria in the emergency setting.’ rubio-perez, a colorectal surgeon with special interest in surgical infec- tions, will join a symposium on intra abdominal infection diagnosis and treatment update during the meet- ing. in her opinion the absence of a gold standard in sepsis management is due to the complexity of the dis- ease. ‘what happened again with the sepsis 3 consensus is that things don’t work as well in practice as in theory. sepsis is a complex process and it’s complicated to define uniform stand- ards. we still need to revise our crite- ria, or make a combination between the sirs, the qsofa or other scores.’ to speed things up, madrid hospi- tals started the code sepsis initiative, similar to code stroke, and in which healthcare members are put on alert in case of suspected sepsis to trigger the appropriate chain of action. ‘initiatives like the surviving sepsis campaign and code sepsis can offer simple pathways and identification systems to diagnose patients with sepsis early. this must be an institu- tional and multidisciplinary effort. a few other regions in spain have done the same with successful results,’ rubio-perez pointed out. sepsis is a common scenario in abdominal emer- gencies, for instance in peritonitis or appendicitis, and treatment relies on antibiotic and surgical therapy. besides finding the appro- priate diagnostic criteria, the other challenge in sepsis man- agement is antibiotic resistance. ‘a patient presenting with an infec- tion due to multi-resistant bacteria may not respond to usual treat- ment, as the initial antibiotic may not cover appropriately. this significantly increases morbimortality.’ rubio-perez, phd was on the topic, suggests looking at risk factors, such as previous antibiotic intake, or recent hospitalisation, prolonged stay in long-term care, or residential home, a daily hospital visit for dialysis, and other clinical factors, including dia- betes, immune suppression, repeated urinary tract infection, etc. ‘having suffered a previous super resistant bacterial infection, i.e. being a carrier, augments risk for a patient to present with a clinical infection,’ she added. complications increase in post-sur- gery patients who develop a nosoco- mial infection. treatment may be only one or two antibiotics, because of resistance, and this may also substan- tially augment morbidity. the remaining solution is blended automatically six times a day, for 15 minutes. electronic and mechanical safety precautions keep liquids from overflowing within the tank to guar- antee the utmost safety for labora- tory staff. ‘on the technical side, exhaust and ventilation technology has never been more important than now, especially energy recovery and filtration of pollutants play a main role, which is why we always design our products from our customers point of view,’ explains robert karl, kugel medical’s ceo. the company is at medica dem- onstrating that the fully automated formalin mixing station afds-100 has a lot more to offer. www.kugel-medical.de wire, with rounded ends, allows the surgeon to effectively clear the pas- sageway to the tear duct.’ established for over a decade ago, the firm adds that its collaboration with clinicians and academics at lead- ing hospitals worldwide has enabled it to develop innovative sterile single- use alternatives to re-usable instru- ments. the benefits include time saving, plus reduction in patient risk and cost reduction. a full range of new products is on show for ent/maxfax, general surgery, gynaecology, neurosurgical, ophthalmic and orthopaedic instru- ments. details: www.dtrmedical.com g station call to re-evaluate sepsis screening tool ngle-use nd probes thologists ew tool expert declares updated criteria for sepsis identification is not early enough. mélisande rouger reports t medica 42 at medica 92 after completing her residency in general surgery in 2012 at princesa hospital in madrid, ines rubio-perez md became a staff surgeon in the colorectal surgery unit at la paz university hospital. her research activities include the study of clinical profiles and risk factors of multi- resistant infections in surgical patients – the subject of her phd thesis in 2015. she is a member of the board of the surgical infections section in the spanish surgical association (aec), and councillor and educational committee member of the surgical infection society - europe (sis- e), where she strives to involve surgeons in the knowledge and importance of infections. medica advert - oct16.indd 128/10/201610:22 eh @ medica no 22016

tuesday @ medica 11 hall 1 stand f26 morffi tm signalenhancement an evolution in assay performance 10 x increase in sensitivity* *assay specific www.bbisolutions.com email:trymorffi@bbisolutions.com tel:+44 (0) 2920 767 499 make the connection the world’s easiest to use hba1c analyzers just got even better. quo-test and quo-lab from ekf diagnostics now come with poct1-a2 connectivity, qc and user id lockout as standard. make your connection today:  hba1c-test.com  +44 (0)2920 710 570  connect@ekfdiagnostics.com 1 2 3 4 5 6 7 8 9 10 11 12 visit us at medica stand #c70, hall 3 diagnostics for life connectivity now available on quo-test and quo-lab a1c analyzers. eh @ medica no 2 2016 today at medica: ekf diagnostics is previewing the new connectiv- ity solution for the firm’s range of point-of-care hba1c analysers. ‘quo- test and quo-lab now come with a connectivity package including a connector interface box, cables and a software upgrade, allowing the analysers to transmit patient data to the majority of lab information management systems (lims) or hospital information systems (his) in use today,’ the company reports. ‘the connectivity package uses the poct1-a2 communi- cation protocol and the in-house designed connector interface box to create bidirectional communica- tion between a multitude of lab information management systems and the quo systems. unlike many closed proprietary data management systems, the ekf diagnostics con- nectivity solution is open, allowing for easy and simple connection to whatever system the clinic is cur- rently using.’ as well as using the industry standard poct1-a2 communication protocol, the connectivity solution also unlocks a host of new features aimed at improving security and quality control. for the first time, an increased amount of demographic informa- tion can be recorded, including full patient name, date of birth, patient id numbers and additional results commentary, using either the stand- ard product barcode scanner, or new keyboard accessory. this additional demographic information enables the patient and his/her results to be linked and traced throughout the whole healthcare system. ‘operator ids can now be added to each test result, significantly improving the traceability and secu- rity applied to every hba1c reading. a controlled list of trained operators assures that only those with suf- ficient competency have access to the system to start taking measure- ments,’ the company points out. ‘this new feature takes away the risk that an untrained operator can access the system, or even review patient results, unless they have the proper and correct security level. enhanced quality control is now also possible with multiple user- defined qc lockout options available to poct coordinators, ensuring that tests can only be run according to whatever quality assurance proce- dure is needed. ekf: ‘even more traceability is possible because consumables and quality controls can now be added to an approval list, meaning only those products that have passed incoming inspection are used.’ these new connectivity solutions take quo-test and quo-lab to the next level in poc patient manage- ment and the firm reports ‘it will help ekf to further its aim of making poc diabetes patient management more accessible and also more robust.’ details: www.hba1c-test.com s foetal monitoring and wall support augmenting diabetics’ poc point-of-care hba1c analysers at medica 2016 ekf diagnostics is at medica hall 03 / stand c70 » healthcare is at medica 42 uk innovations for women’s health tel:+44 (0) 2920767499  +44 (0)2920710570 eh @ medica no 22016