Thermedx FluidSmart Fluid management system
For use in gynecology & urology
The Thermedx FluidSmart system is a fluid management system for irrigation, distention, fluid warming, and deficit measurements. This multifunctional system can be used for a variety of procedures in gynecology and urology. The potential advantages of the continuous warmed and automated fluid irrigation system may include lowered chance of perioperative hypothermia complications(1),(3),(4) and improved operating room (OR) efficiency leading to more cost savings.(2),(5)
FluidSmart features:
- Step-by-step instructions displayed on screen for easy set-up
- On-demand fluid warming to specified set temperature*
- Adjustable fluid pressurization
- Non-pulsating flow to enhance visualization
- High pressure capabilities for ureteroscopies**
Fluid management, made easy.
Fluid warming
On-demand fluid warming to specified set temperature* which may help in the prevention of preoperative hypothermia1
Non-pulsatile flow
Provides clear visualization during a procedure
Proprietary lure-lock adapters
For all urological procedures, including ureteroscopy (for use up to 300 mmHg)
Fluid deficit monitoring
Real-time monitoring and display of fluid deficit
Enhanced safety features
Adjustable notifications for deficit, pressure, and perforation
User-friendly
Change fluid bags and canisters without disrupting a surgical procedure
FluidSmart provides steady irrigation to support pressure management3 and increases nurse satisfaction when compared to a hand pump.2
Warmed fluid on demand
An in vitro ureteroscopy model demonstrated FluidSmart has faster fluid heating capabilities compared to other automated irrigation systems.3
Higher nurse satisfaction
A survey of 28 circulating nurses showed significantly higher satisfaction using FluidSmart compared to a hand pump in percutaneous nephrolithotomy (PCNL) cases (94% vs 44%, p<0.001) and compared to a hand pump in ureteroscopy cases (92% vs 65%, p<0.001).2
Fluid warming and display of fluid temperature measurement may help in the prevention of perioperative hypothermia. Perioperative hypothermia may lead to the following adverse outcomes1,4
Increased postoperative
wound infections4
Prolonged hospital stay4
Greater intraoperative
blood loss4
FluidSmart increases cost savings by increasing OR turnover, OR efficiency, reducing pump set up and pump time.2
Less OR staff needed
One less circulating nurse may be needed to manage fluid irrigation when using FluidSmart compared to hand pump irrigation in PCNL cases. Assuming total PCNL OR time is 2.3 hours and $57/hour as the average hourly salary of a circulating nurse. This results in an estimated savings of $131 per procedure.2
12 minutes less OR time
Total procedure time for myomectomy procedures were reduced by an average of 12 minutes (46 min vs 34 min) when using FluidSmart’s continuously warmed fluid versus warming cabinet fluid.5 This results in an estimated savings of $432 per procedure.5,6
Reduced pump time
Compared to a handpump, FluidSmart reduced the pump set up by an average of 7.6 minutes (9.8 min vs 2.2 min) and reduced pump time up to 29 minutes in PCNL cases.2
References
1. Susan Cantrell, Patient-temperature monitoring for optimal outcomes: Not just a lot of hot air. November 2014. INSIDE CURRENT ISSUE.
2. Jefferson FA, Sung JM, Limfueco L, et al. Prospective Randomized Comparison of Standard Hand Pump Infuser Irrigation vs an Automated Irrigation Pump During Percutaneous Nephrolithotomy and Ureteroscopy: Assessment of Operating Room Efficiency and Surgeon Satisfaction. J Endourol. 2020;34(2):156-162. doi:10.1089/end.2019.0419
3. Fedrigon D III, Alshara L, Monga M. Comparison of automated irrigation systems using an in vitro ureteroscopy model. Int Braz J Urol. 2020;46(3):390-397. doi:10.1590/S1677-5538.IBJU.2019.0230
4. John M, Ford J, Harper M. Peri-operative warming devices: performance and clinical application. Anaesthesia. 2014;69(6):623- 638. doi:10.1111/anae.12626
5. A. Salazar, Marron C. Wong, Valencia E. Miller, Stephanie N. Morris, and Keith B. The Effect of Warmed Hysteroscopic FluidDistention Medium on Postoperative Core Body Temperature: A Randomized Trial. Aug 2019. Journal of Gynecologic Surgery 2019 35:4, 239-245 https://doi.org/10.1089/gyn.2018.0109
6. Childers CP, Maggard-Gibbons M. Understanding Costs of Care in the Operating Room. JAMA Surg. 2018;153(4):e176233. doi:10.1001/jamasurg.2017.6233. The mean cost for 1 min of OR time across California hospitals was 37.45 in the inpatient setting and $36.14 in the ambulatory setting.
*Temperature measurements displayed by the system are readings of fluid temperature at the exit of the warming mechanism. These readings do not account for temperature loss as fluid passes through the disposable tubing.
**The LL0006 Urology Set is for use in urology procedures with set point pressures up to 300mmHg.
Indications for Use:
Intended for irrigation and fluid warming in laparoscopic procedures, and distention, fluid warming, and volume/deficit measurements in endoscopic procedures within gynecology, urology, and orthopedic disciplines.