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Details Created: 24 January 2019 Last Updated: 24 January 2019 Dr James Evans, one of SMTL's health services researchers, has recently had a ('Thopaz+ Portable Digital System for Managing Chest Drains: A NICE Medical Technology Guidance', Evans, J.M., Ray, A., Dale, M. Appl Health Econ Health Policy (2019)). The work, undertaken when James was working for CEDAR, assessed the clinical evidence for Thopaz+, and showed shorter drainage times and length of hospital stay, lower rates of chest drain re-insertion and higher rates of patient satisfaction when used in patients following pulmonary resection compared to conventional chest drainage.

Sep 15, 2008 - The DIC statement said: 'Following inaccurate media speculation about Dubai International Capital (DIC) and Liverpool Football Club (LFC),.

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One comparative study of the use of Thopaz+ in patients with spontaneous pneumothorax was identified and showed shorter drainage times and length of hospital stay compared to conventional drainage. The authors concluded that the use of Thopaz+ in patients following pulmonary resection and patients with pneumothorax led to cost savings compared to conventional drainage. The main driver for cost savings was a reduction in length of hospital stay. Details Created: 10 January 2019 Last Updated: 10 January 2019 Since the first British Standards for compression hosiery were published in the 1980's, the use of compression garments to treat various clinical complications has changed significantly. Performance requirements and test parameters which seemed appropriate 33 years ago are now causing confusion for users of the products and operational difficulties for test houses and manufacturers.

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To address these issues a new standard - BS 6 - has recently been published. BS 661210 is a revision and merger of three previous standards (BS 6612:1985, BS 7563:1999 and BS 7672:1993) for graduated compression hosiery, anti-embolism hosiery and graduated support hosiery. The BSI Panel took the opportunity of the revision to address inconsistencies in the previous standards, clarifying various test parameters and technical issues, and producing a single consistent test method to test both medical and non-medical compression garments. As well as specifying the test method, the Standard sets out performance requirements for the compression and stiffness of these devices, and these have been updated to reflect current clinical UK guidance. A new informative Rationale Annex (Annex C) has been included to explain the thinking behind most of the major changes in the Standard, and another new Annex (Annex D) explains the variety of classes and compression profiles used in the UK that are referenced in various standards and clinical guidance documents.

Peter Phillips (Director of SMTL) is chair of BSI committee CH/205/1, under which the Panel operated, and Dr Gavin Hughes (Deputy Director, SMTL) acted as Editor of the standard. Details Created: 15 August 2018 Last Updated: 24 August 2018 The Cross UK Partnership Group, a forum enabling regular dialogue between the devolved administrations and the Medicines and Healthcare Regulatory Agency (MHRA),held its latest meeting at Princess of Wales Hospital, Bridgend, in July 2018. SMTL represent Welsh Government on the Group for medical devices, and alongside Welsh Government's medicines experts gave a presentation to the group on medical device testing and procurement in Wales. After lunch, 10 members of the group including MHRA staff came for a tour of SMTL, where SMTL staff demonstrated some of the testing programmes currently underway, including testing of lymphodema stockings, pH papers for nasogastric tube placement, and gowns and drapes.

The aim of the test programme was to standardise and rationalise the range of garments in use within NHS Wales whilst addressing a number of known quality issues (such as sizing) for lymphoedema garments identified by the clinical members of the group. Using this information, a performance specification was agreed with the lymphoedema specialists, based on average patients' leg and arm dimensions ProcS then grouped the different products into Lots, and manufacturers were then asked to supply appropriate off the shelf and made to measure garments to fit the selected patient's dimensions in specific Lots. Using these clinician-specified dimensions, SMTL set up their Hatra Mark 2 hosiery tester (specified in a number of British Standards) to mimic the size of these patients, and then undertook a programme to test the pressures exerted by the garments, and assess whether they complied with the specification. Alongside testing for contracts, SMTL also investigates medical device defects and incidents for the NHS in Wales. When the contract process for lymphoedema was first started many clinicians were not aware of the defect process and dealt directly with manufacturers. However, since explaining the defect reporting process for medical devices to the lymphoedema clinicians in 2014, the SMTL has investigated over 150 incidents, with most reports being due to incorrect sizing, durability and manufacturing issues. The combination of a highly specified contract process and a well-publicised defect reporting system has lead to the number of defective garments dropping significantly, with only 10 incidents being reported to SMTL between January and August 2018.