DOTmed Business News 03-12

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MARcH 2012
Contents
Features
38 AORN 2012 Update
Q & A with AORN 2011-2012 president Anne Marie Herlehy Find out whos in for 2012
38
47 DOTmed 100
Industry Sector Reports

20 OR Suites
LED lights and hybrid rooms populate the sector
30 Endoscopy/Arthroscopy
The start of endoscopys reign
40 Sterilizers
A hospitals first line of defense against infection
58 Anesthesia
Information management systems sales fuel market
20
58
Visit DOTmed.com/news for breaking news daily, to comment on stories in this issue, to participate in surveys and more.
Contents
PUBLISHER DOTmed.com, Inc. PRESIDENT Philip F. Jacobus
Departments
64 Medical Museum
The Wales Endoscope
EditoRiAL
EDITOR-IN-CHIEF Sean Ruck 212-742-1200 Ext. 218 sruck@dotmed.com ONLINE EDITOR Brendon Nafziger STAFF WRITERS Diana Bradley Joanna Padovano
65 This Month in Medical History
coca-Koller and the discovery of local anesthesia
dESign
DESIGN DIRECTOR Stephanie Biddle SENIOR DESIGNER William Plummer
In Every Issue
6 8 9 15 15 15 16 18 63
Letter from the Editor Alright, this is the last time . . . Letter from the Online Editor Budget battle dj vu Top Stories from Our Daily Online News Upcoming Events calendar In the Next Issue This Months Exclusive Online content New Products Showcase Hospital Spotlight NewYork Presbyterian Show and conference Spotlight AORN 59th congress This Months Featured Auctions Marketplace & classifieds Blue Book Price Guide
SALES
SALES DIRECTOR David Blumenthal 212-742-1200 Ext. 224 dblumenthal@dotmed.com KEY ACCOUNT Susan Minotillo MANAGER 212-742-1200 ext. 261 sminotillo@dotmed.com ACCOUNT EXECUTIVES Sean Collins 212-742-1200 Ext. 288 scollins@dotmed.com Daniel Gaspar 212-742-1200 Ext. 203 dgaspar@dotmed.com Dustin Sewnauth 212-742-1200 Ext. 289 dsewnauth@dotmed.com Rigo Smith 212-742-1200 Ext. 207 rsmith@dotmed.com
Press Releases If you have news regarding your company submit it to: pr@dotmed.com Article and Story Consideration If you have an article or feature story you would like the editor of DOTmed Business News to consider publishing, submit it to: news@dotmed.com Letters to the Editor Submit letters to the editor to: news-comments@dotmed.com Auctions If you want information about auctioning equipment on DOTmed.com, please call: 212-742-1200 Ext. 296, or email us at auctions@dotmed.com DOTmed Business News is published by DOTmed.com, Inc., 29 Broadway, Suite 2500, New York, NY 10006 Copyright 2012 DOTmed.com, Inc. All rights reserved.
66 67 72
DOTmedSM provides the DOTmed Business NewsSM to its registered users free of charge. DOTmedSM makes no warranty, representation or guarantee as to the accuracy or timeliness of its content. DOTmedSM may suspend or cancel this service at any time and for any reason without liability or obligation to any party. All trade names, trademarks and trade dress contained herein belong to their respective owners and are used herein with the intent to represent the goods and services of their respective owners. If you think your trade name, trademark or trade dress is not properly represented, please contact DOTmed.com, Inc.
LETTER FROM THE EDITOR
Alright, this is the last time . . .

s youre probably aware, during Februarys American Medical Associations conference in Washington D.C., the acting Centers for Medicare and Medicaid Services administrator, Marilyn Tavenner, announced that the government would consider extending the Oct. 13 2012 deadline for the upgrade to ICD-10. Since that announcement, the deadline extension has been confirmed, although no firm date has been set. The original deadline of October, 2011 was extended after providers voiced concerns during a public comment period in 2008. Although a second extension provides a welcome relief for practitioners already burdened with a flood of developments delivered by health care reform, one wonders if it would just be better to rip off the Band-Aid now. Yes, more time gives the opportunity to get things in order. But more time also provides the chance for further developments to crop up increasing the burden. I would hope CMS takes a hard look at Europes adoption of ICD-10 to determine how great the benefit would be to our own health care system. As European health care practices have been using ICD-10 for years already, there should be a wealth of information on its return. Obviously, the greater the return, the greater the argument for pushing forward with current deadlines. Conversely, minimal benefit should translate into possibly keeping the Band-Aid on and sticking to other deadlines with bigger payoffs. It should be interesting to watch how this plays out. In other developments to follow, DOTmed Business News is now available as a free app in Apples iTunes Store. Were very proud to offer the magazine to iPad users and we welcome feedback on your experience with our magazine in that digital format. Of course, our print offering will continue to be delivered and in this issue we deliver industry sector reports on endoscopy updates, the evolving OR suite, safer anesthesia delivery devices and the latest on sterilizers. We also reveal the DOTmed 100 for 2012 and have a chat with AORN president Anne Marie Herlehy. As always, feedback, story ideas and any other suggestions are welcome. Until next issue!
Sean Ruck Editor-in-Chief sruck@dotmed.com DOTmed Business News
Download the free DMBN Magazine app in Apples iTunes Store.
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I march 2012
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RADIOLOGY & IMAGING

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TOP STORIES FROM DOTmed ONLINE NEWS

Budget battle dj vu
Letter from the onLine editor
regard. Namely, the new budget contains the same proposed plans for imaging that drew an outcry from radiologists last year: it calls for a bump in the assumed utilization rate (meaning lower Medicare payments to providers) and for doctors to get permission from somebody, probably a radiology benefits manager, before ordering an exam. Just like in 2011, radiologists dont seem happy about the proposals, and the American College of Radiology said itll work to get them stricken from the final budget, which is what happened in the last go-around. It remains to be seen, of course, if the script plays out the same way this time. If you have a news tip or comment, write to me at brendon@dotmed.com.
Brendon Nafziger Online Editor DOTmed Business News
Top 10 online stories

(from Jan. 17 Feb. 10)
Obama FY 13 budget includes imaging cuts, prior authorization CyberKnife arrives in Mexico Nuance talks bringing Watson, Siri-like tech to medicine Not safe X-ray unit sold online leads to FDA investigation Varian books $50 million Russia proton order Medical device user fee deal hailed as game changer PACS market to see double-digit growth AMA happy by ICD-10 delay; HIMSS, not so much McKesson acquires peerVue GOP freshmen take aim at med device tax
hile the most-read story over the past 30 days is not a repeat, you should still be able to recognize it. Thats because its about the fiscal year 2013 federal budget, which is similar to the 2012 federal budget, covered in these pages last year, in one important
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ExclusivE contEnt uPDAtED DAilY At www.dotmed.com/news
Proposed federal budget includes imaging cuts, prior authorization scheme

he Obama administrations proposed $3.8 trillion federal budget for fiscal 2013 includes a Medicare requirement that would make doctors get prior authorization before ordering an advanced imaging test. It also could slash millions in reimbursements to doctors, as it proposes lowering payments for advanced imaging equipment to account for higher levels of utilization. The rapid growth in the number and intensity of imaging services over the last decade raises concerns about whether these services are being used appropriately, said a budget outline released in February by the Department of Health and Human Services. The proposed budget was quickly slammed by medical imaging device manufacturers, who said it was recklessly limiting access to imaging for seniors and could slow down job creation in the industry. Reducing seniors access to early disease detection by cutting imaging reimbursements and adding an unworkable prior authorization system will negatively impact health outcomes, lead to more health care spending and is contrary to the presidents goal of spurring advanced manufacturing in communities across our country, Gail Rodriguez, the new executive director of OEM lobby the Medical Imaging & Technology Alliance, said in a statement. In the proposed budget, the Centers for Medicare and Medicaid Services said that although the growth of imaging has mediated somewhat in recent years, Medicare payments under the physician fee schedule have shot up dramatically over the past decade. As a result, CMS said it was listening to MedPAC suggestions that imaging might be mis-priced. Starting next year, the agency proposes to cut payments for advanced imaging equipment to take into account higher rates of utilization, in a move it says will bring in $40 billion in savings for fiscal 2013 and $820 million over the next decade. In addition, under one of 16 antiwaste proposals, which aim to cut out about $3.6 billion in wasteful or fraudulent spending over the next 10 years, the agency is proposing to provision was listed as having no budget impact.
Barriers to care
While the specifics of the imaging proposals havent been fully released, American College of Radiology spokesman Shawn Farley said they appear similar to what was proposed in last years federal budget, and which was ultimately defeated. They were bad policy last year, and theyre bad policy this year, he told DOTmed News. If the payment cuts designed to take into account higher levels of utilization are an increase on
Amount the utilization rate changes are expected to save Medicare over the next decade.
set up a prior authorization scheme. This proposal would adopt prior authorization for the most expensive imaging services to ensure that these services are used as intended and protect the Medicare program and its beneficiaries from unwarranted use, the HHS budget outline said. The CMS said that many private health insurers have already adopted similar plans to manage spending growth, and that the Government Accountability Office asked CMS to consider prior authorization plans among others to control the rise in spending. That said, the
$820 million
the assumed utilization rate, as it seems to be, the current rate, at 75 percent, is already too high, Farley said. ACR said a Radiology Business Management Association survey from 2009 suggests the actual average utilization rate is closer to 54 percent. Basically, these cuts place barriers to care in front of seniors that dont need to be there, and could result in dialing back the clock on advances made against cancer and other serious illnesses, Farley said. Online: dotmed.com/dm18065
DOTmedbusiness news
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onLine neWS www.dotmed.com/news

A prototype of the as-yet-unnamed app will make its public debut at HIMSS 2012 in late February, but it will be a quiet one. Well carry a few of them around in our pockets, Joe Petro, senior vice president of research and development with Nuance Healthcare, told DOTmed News. Nuance made its name in speech recognition software. And the product, which Nuance plans to release commercially later this year, takes advantage of what Petro calls the next evolutionary step in the technology. We think we have the speech dictation down. Were chewing at the upper edge of accuracy, getting from 96 to 99 percent, he said. Most of the stuff you see from an innovation perspective in 2012 will be about exploiting that understanding. From the understanding perspective, its almost untapped.
Time to page Dr. Watson? Nuance looks to bring smart tech to medicine
A doctor is about to prescribe an antibiotic, but is a bit worried it might interact with an antidepressant her patient is currently taking, Wellbutrin. So, what does she do? Its possible, in the near future, she might simply pull out her phone and ask it. At the recently wrapped up 2012 Consumer Electronics Show, Nuance brought Android phone owners a program similar to Siri, the popular voice-command search feature released by Apple in its most recent iPhone rollout. The free app, Dragon Go!, is strictly for consumer use. But Nuance, which licenses some of its technology for Siri (Nuance and Apple are pretty closed-lipped about specifics), also has a medical version in the works.
Language processing
In essence, the technology would work by breaking down spoken language, categorizing it and mapping the categories onto a series of medically oriented databases - for instance, for drug interaction (as in our antibiotic and antidepressant example) - and then returning a context-specific result. As it acts more like a reference book than a computer-aided diagnosis tool, the technology likely wouldnt fall under the Food and Drug Administrations purview. Still, the company hopes doctors can find it helpful. The drug interaction use case is, in fact, rather important here, as Petro said Nuance sees a lot of potential for this technology in helping doctors navigate the perilous waters of pharmacology. One of the big challenges [for doctors] is keeping up with all the pharmaceutical stuff, he said. Treatment protocols and dosing information are frequently updated and quite complex, so having a ready reference to aid physicians in prescribing drugs to someone already taking others could be useful. Of course, this feat, rapidly and intelligently finding answers to technical questions, bumps up pretty close to the turf of another much-ballyhooed techno10 DOTmedbusiness news
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Most of the stuff you see from an innovation perspective in 2012 will be about exploiting [language] understanding. From the understanding perspective, its almost untapped.
logical figure from last year that Nuance also is working on: Watson.
The Dr. Watson dilemma

Watson, originally called DeepQA when developed by IBM, can rapidly browse through a vast store of infor-
mation. Like Johnny Five, the speed-reading robot in the 1980s comedy Short Circuit, Watson works fast, and can page through about 200 million pages of data in three seconds, according to a presentation Nuance gave at the Radiological Society of North Americas annual meeting last fall. Using all the data at its electronic fingertips, plus its hypothesis-testing programming that helps it puzzle out a users intent, Watson can then provide answers to specific questions. Famously, this was done answering trivia on the TV show Jeopardy. But almost immediately, people began wondering if there were medical applications for it. It turns out Nuance has been working with IBM (again, the company is cagey about specifics), doing research on using a Watson-like technology in medicine. Petro said when they originally approached IBM about using Watson, the first idea bandied about was essentially Dr. Watson: having the software answer specific questions related to specific diagnoses. But Petro said they decided it could be an unnatural interaction for physicians,
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and that it could tread too closely on what is ultimately their clinical decision-making. What doctors want, Petro suggests, is a consultative process, where they work with the software to get deeper and deeper levels of information about medical topics, such as common treatments for psoriasis. We call it spiraling, he said. You can imagine spiraling down and converging on a single body of information to provide final answers to support the conclusion the physician has made. Online: dotmed.com/dm17906 who develop these innovative technologies, she said in a statement.
No device left behind

The new agreement calls for the FDA to meet a variety of goals by fiscal year 2017, the last year of the proposed program, which is a reauthorization of a plan that first began in 2002 with the passage of the Medical Device User Fee and Modernization Act. Among the new goals is what AdvaMed calls leave no submission behind, which requires the FDA to meet with companies if submissions run into trouble. The deal also requires the FDA to hire a third-party consulting organization, as yet unnamed, to audit its review process. Also in the spirit of transparency, the agreement requires the FDA to provide quarterly and annual reports on progress made towards meeting its review time goals. Perhaps most important to the industry is the way those review time goals will now be handled. Previously, the FDAs goals were centered on FDA days -- meaning the number of days the FDA spent reviewing the product, typically set at around 90 days for a device cleared in the 510(k) pathway, which includes much new imaging equipment. However, the 90 days only applies to the time
Medical device user fee deal hailed as game changer

The Food and Drug Administration reached a tentative deal with the medical device industry on user fees. The deal would let the FDA collect more than half a billion dollars from companies over the next five years, double what it got in the last user fee renewal, but in return would agree to a faster, more transparent device review process. We believe this agreement is a potential game changer for the FDA, for the industry and most importantly, for patients and the American economy, Stephen Ubl, president of the Advanced Medical Technology Association, one of the three trade lobbies that helped negotiate the deal, said on a conference call in February. The other two lobbies involved in the deal were the Medical Imaging & Technology Alliance and the Medical Device Manufacturers Association. The 10-year-old user fee system lets the FDA draw money from device companies to pay for its review of new devices, and has so far been renewed for two five-year blocks. However, the medical device industry has long complained that the agency is slow and inefficient, and that their businesses suffer as new devices languish in bureaucratic limbo while they await the agencys approval. But after a year of talks, and after the agency missed its self-imposed Jan. 15 deadline to submit a deal to Congress, the FDA and industry representatives have, hammered out a compromise: one that raises money for the FDA, while speeding up review times for industry. And the effects of the deal could be felt by the imaging sector, too. Lindsay Morris, acting executive director of MITA, which represents manufacturers of CT and MRI scanners, among other equipment, said these changes could help bring radiation therapy and imaging devices to market quicker. The increase in resources to the agency under this agreement corresponds to a more timely approval process, which will benefit patients and the manufacturers
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Unfors Xi
-Platinum Plus edition

The Unfors Xi, now in its Platinum Plus Edition, is the leading system for diagnostic x-ray multiparameter measurements on all modalities. Thousands of users have experienced the benefits of this high-capacity, pocket-sized instrument. With the Platinum Plus edition, the Unfors Xi takes another evolutionary leap in diagnostic QA systems. Pocket sized Easy to use Accurate. We call it the Unfors Concept. You can call it productivity.
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User fee by the numbers

FDA gets $595 million over 5 years 200 new full-time equivalent workers Medical device companies get 124 calendar day average total review time for 510(k) application by 2017 140 device reviewers
take effect, to fiscal 2017, the end of the proposed program. By 2017, for instance, the final average total for a 510(k) would be 124 calendar days, she said.
More staff
On the FDAs end, the agreement gives the agency $595 million over the next five years, a boost over the $287 million it was earmarked through the program in the last reauthorization, although less than the $800 million or so the agency was originally asking, according to minutes of meetings hosted on the agencys website. One use of the money will be increasing staff: in an announcement, MITA said the agency would hire 200 new full-time-equivalent workers, including 140 device reviewers, with the aim of also lowering the ratio of managers to reviewers at the agency. However, although the deal was approved in principle by the trade groups and by the agency, details, such as fee structure, have to be worked out. The deadline for finalizing the agreement is Sept. 30, when the fiveyear programs last reauthorization expires and needs to be renewed. Online: dotmed.com/dm17981
the FDA spends reviewing the data; if the agency asks for more information, which often happens, it pauses that countdown, even as the actual calendar days fly by. Now, the new plan also calls for the agency to commit to a reduction in average total review time that is, the time from the filing of the application to the final decision from the agency. We think that will have the net effect of reducing total review time, the most important measurement you can make, Ubl said. On the call, Janet Trunzo, AdvaMeds executive vice president, technology and regulatory affairs, who helped lead the negotiations with the FDA, said the process would ramp up from fiscal 2013, when the new rules
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McKesson acquires peerVue
McKesson bought radiology workflow and communications solutions provider peerVue Inc. in a move the Fortune 500 company said would extend its portfolio and address site-specific needs. Terms of the deal, announced in early February, werent disclosed. Joe Biegel, vice president, product management and product marketing of McKessons enterprise medical imaging division, said acquisition was partly driven by the growing market for a flexible workflow solution in diagnostic imaging. But he also hinted at plans of expanding Sarasota, Fla.-based peerVues technology outside of radiology. While peerVues team has a strong focus in the radiology segment, we believe the core technology developed by the team could easily be applied into other clinical domains in the future and we are quite excited about the potential to build up solutions in some other domains closely related to radiology, Biegel told DOTmed News. Online: dotmed.com/dm18036
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GE Healthcares sweet 16
GE is the leading player in the PACS market with 16 percent market share, according to a recent GlobalData report. Forecasted value of PACS sector by 2017 is expected to be $5.4 billion, GlobalData says
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Exclusively Online This Month

In a saga stretching nearly four years, the final chapter of the STERIS SYSTEM 1 processor recall is set to close on August 2, 2012. DOTmed News offers a look back at the issues and a look at how STERIS is making strides in replacing the SYSTEM 1 processor with the SYSTEM 1E Liquid Chemical Sterilant Processing System. We also look at how the new system has been received by the market. Read the timeline and the latest updates online at: www.dotmed.com/news/18224 or type DM18224 into any search window on the site.
Upcoming Events
PITTCON Conference & Expo 2012
March 11 March 15, Orlando, Fla.
Dubai Pharmeceutical & Technologies Exhibition

March 12 March 14, Dubai, U.A.E.
Medtec Europe
March 13 March 15, Stuttgart, Germany
MD&M Southern Regional Series

March 14 March 15, Fort Worth, Texas
Biotech World
March 20 March 22, Moscow, Russia
International Vision Expo & Conference East 2012

March 22 March 25, New York, N.Y.
China Med
March 23 March 25, Beijing, China
Coming in April:
Industry Sector Reports:
C-arm
Our annual review of recent developments.
AORN
March 26 March 28, New Orleans, La.
Arab Lab The Expo

March 26 March 29, Dubai, U.A.E.
MedExpo Kenya
March 31 April 2, Nairobi, Kenya
Special Procedures: Cath/Angio
These rooms for improvement are expanding their specialties.
Injectors & Contrast Agents

New technology, new concerns.
INDUSTRY SECTOR REPORTS
Features:
Nanomedicine update
Cancer killers dont come any smaller.
IDN Summit Preview
We offer a glimpse at this years gathering.
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NPS
NEW PRODUCTS SHOWCASE
to view the full product description, enter the online code following the story. Have a new product? Send your press release to pr@dotmed.com.
CORENTEC CO., LTD., Launches CORENTEC AMERICA, INC.

Corentec Co., Ltd., announced that the company is now offering its orthopedic products in the U.S. with the launch of Corentec America, Inc. The portfolio of products include artificial hip and knee joint replacement products, and spine implants, for orthopedic Implant solutions. Products available immediately, include Total Hip, and Bi-Polar Hip Joint Implants, and a Pedicle Screw System. A Total Knee Joint Implant solution is expected to receive FDA clearance in Q1, 2012. Additional products for Hip, Knee and Spine are in the FDA clearance process, and should be available in the U.S. in 2012.
EW100-UVGI Ergonomic Workstation
Nvision VLE Imaging System

NinePoint Medical, Inc., announced it has received 510(k) clearance to market its Nvision VLE Imaging System. The system is indicated for use as an imaging tool in the evaluation of human tissue microstructure by providing two-dimensional, cross sectional, real-time depth visualization. The Nvision VLE Imaging System is the first volumetric optical coherence tomography (OCT) device cleared by the FDA for endoscopic imaging that uses a circumferential scanning technique and an automatic pullback to generate cross sectional and longitudinal images simultaneously in real-time.
S&S X-Ray/S&S RADX /dba S&S Technology has recently received a patent for its EW100-UVGI Ergonomic Workstation & Keyboard Sanitizer. A pullout drawer with UV lamps extends over the keyboard area to provide sanitizing that will eliminate the H1N1 virus and at the same time, lockout operation of the table mechanism. The table is available in single or dual elevating table configurations and numerous other options.
NEW PRODUCT SHOWCASE
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NEW PRODUCT SHOWCASE
Advancement-Assisted Single-Use Colonoscopy System

Last month, invendo medical announced the company received 510(k) clearance for its C20 colonoscopy system including the SC20 single-use colonoscope. The invendoscope SC20 has several features that are new to the field of colonoscopy: * it is a single-use colonoscope with a working channel * uses a computer-assisted gentle drive technology * all endoscopic functions are performed using a handheld device and * it reduces forces on the colon wall A clinical trial with the companys colonoscope delivered convincing results with a >98% cecal intubation rate and lesions detected in 41% of screening subjects. No device-related adverse events were observed during the study.
Xpress CR Mammography
Konica Minolta Medical Imaging USA announced on Feb. 19th that the FDA has cleared the Xpress CR Digital Mammography upgrade for sale. The clearance specifically applies to the companys CP1M 18 x 24 and 24 x 30 cassettes and the use of the CS 3 control station with the REGIUS 190 and 210 readers. The upgrade utilizes a Cesium Bromide phosphor receptor. The CS-3 Control station offers an imaging platform that includes specialized imaging tools for CR, DR and also Mammography imaging applications. Specialized Mammography algorithms include advanced skin line detection and chest wall masking.
Xper Flex Cardio Physiomonitoring system

Philips Healthcare announced the release of the Xper Flex Cardio Physiomonitoring system, a hemodynamic cardiac monitoring solution used to facilitate invasive investigation of heart and vascular disease. The Xper Flex Cardio Physiomonitoring system offers 12-lead interpretation of the resting ECG in addition to 16-lead analysis. It also comes equipped with integrated Fractional Flow Reserve functionality and a DXL ECG Algorithm analysis capability that uses multiple steps to produce precise and consistent ECG statements. Additionally, the system has Culprit Artery Detection-a technology that provides suggestions on the probable site of an occlusion prior to a cath procedure, assisting with procedure planning-and patented ST Maps that provide a graphical indication of ST elevation.
PRIMA T CR Digtial X-ray Tabletop Unit

FUJIFILM Medical Systems U.S.A., Inc. recently introduced the FCR Prima T, the latest addition to the FCR Prima family. The Prima T comes complete with a CR reader, an electronic viewing workstation and an archiving system. Its one of the smallest table top system on the market (22 x 21.5 x 15) enabling one person to install and transport, says Eddie Massetti, Manager, Distributor Sales at Fujifilm. This compact design eliminates the need for designated floor space and at just 86 pounds, it can be installed on nearly any desk or table top.
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HOSPITAL SPOTLIGHT
Year founded: 1998 Number of beds: 2,409 Number of Employees: 25,520 Hospital: CEO Steven J. Corwin, M.D.
Noteworthy distinctions: In 1998, The New York Hospital (founded in 1771) publicly announced its full-asset merger with The Presbyterian Hospital (founded in 1868) to create NewYorkPresbyterian Hospital. Today, NewYork-Presbyterian Hospital is the nations largest not-for-profit, non-sectarian hospital. It is the number one hospital in the New York metropolitan area and is consistently ranked among the best academic medical institutions in the nation, according to U.S.News & World Report. The Hospital has nearly 2 million inpatient and outpatient visits in a year, including 12,797 deliveries and 195,294 visits to its emergency departments. Affiliations: The Hospital has academic affiliations with two of the nations leading medical colleges: Weill Cornell Medical College and Columbia University College of Physicians and Surgeons. Medical centers: NewYork-Presbyterian Hospital/ Weill Cornell Medical Center, NewYork-Presbyterian Hospital/Columbia University Medical Center, NewYork- Presbyterian/Morgan Stanley Childrens Hospital, NewYork- Presbyterian/The Allen Hospital and NewYork-Presbyterian Hospital/Westchester Division.
CEO Steven J. Corwin, M.D.
NewYork Presbyterian/ Columbia University Medical Center operating room.
NewYork Presbyterian/ Weill Cornell Medical Center operating room
Neonatal Intensive Care Unit-Morgan Stanley Childrens at NewYork Presbyterian/Columbia
Perleman Heart Institute at New York Presbyterian/Weill Cornell
INDUSTRY SEcTOR REPORT
LED lights and hybrid rooms populate the OR sector

By Joanna Padovano
I march 2012
www.dotmed.com
ore and more, technologically advanced hospitals are implementing hybrid operating rooms a mixture of catheterization lab and traditional OR suite. And advancements dont come cheaply. In todays market, a typical general surgery table is going to set a hospital back around $40,000, estimates Charly Dalbert, director of vocational services, stable business and business development for TRUMPF Medical Systems. Depending on the complexity of the tables functions, the price could be closer to $120,000, says Cynthia Jefferson, marketing manager of lights and booms for MAQUET Medical Systems USA. Typical LED operating room light systems cost between $25,000 and $27,000 on average, says Steve Palmer, TRUMPFs director of marketing. According to Operating Room Equipment - Global Opportunity Assessment, Competitive Landscape and Market Forecasts to 2017, a report published by Global Data in September 2011, the global operating room equipment market, valued at more than $770 million in 2010, is predicted to reach nearly $990 million by 2017. The U.S. operating
Beacon Surgicals refurbished OR equipment
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room equipment market, which is the largest, was valued at $288.8 million in 2010. It is expected to increase at a compound annual growth rate of 3.9 percent to hit $377.2 million in 2017. Much of this growth is driven by interest in hybrid ORs, the report says. But specifically, the market for OR tables will be fueled by rising demand for specialized surgical tables used for complicated operations, such as hip replacement surgeries. And the market for OR lights will see slight growth due to the transition from halogen to LED lights.
LED outshines halogen
As has been the case for some time now, the preference for halogen lights in the OR equipment has dimmed considerably since the technologys heyday. Halogen is being phased-out, says TRUMPFs Palmer, who estimates that 95 percent of all major acute-care hospitals purchasing surgical lights are buying LED. Probably in about four, five years, youll be hard-pressed to see a new halogen surgical light being sold to the major hospitals.
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For the past five years or so, weve seen a preference for LED surgical lighting, especially as LEDs have become more efficient as the technology has evolved, says Jake Isley, the product manager of Chromophare for Berchtold. Surgeons appreciate the cool properties LEDs provide. There are several advantages to LED lights, with less heat generated being perhaps the most appreciated by those working under their shine. Older halogen lights, according to Palmer, generate more heat and have to filter out ultraviolet and infrared radiation, which is not always 100 percent effective. LEDs by nature do not have UV or IR characteristics to them, he says. Another benefit to LED lights is that they have an extremely long lifecycle. Halogen lights tend to last around 1,000 hours, meaning they typically need to be replaced on a monthly basis; LED lights, on the other hand, can last for more than 30,000 hours. Youre going to get probably up to 10 years of life out of an LED, so you get rid of that reoccurring cost, which is always something that you have to take into consideration, says Palmer. A third favorable feature of LED lights is their ability to adjust color temperature in order to achieve superior visualization based on the type of procedure being performed and/or what the surgeons prefer. When you talk about the surgeons preference for a certain color temperature, you really have to put yourself in the position of the OR manager, says Dave Rector, TRUMPFs director of marketing communications. The OR manager is trying to satisfy different surgeons and obviously all the hospitals are competing for the best surgical talent. You cant expect that all the surgeons at a given hospital are going to agree on what color temperature they prefer; its a subjective thing and it also has to do with what kind of surgery they specialize in. So the ability to change color temperature just changes the life of the OR manager in that now you have a light that every one of your surgeons can be happy with.
I march 2012
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Additionally, LED lights use lower power consumption, making them a more environmentally friendly alternative to halogen. Although LED lights are taking over on the new equipment side of the spectrum, halogen lights still have some shine in the refurbished market. LEDs really havent hit the used market in a big way yet, says Jerry Burton, director of sales and marketing for refurbished surgical equipment dealer Beacon Surgical. Theyre starting to, but its slow and as they do, theres a lot more cost involved, obviously. Theyre still in high demand, so its at a premium when they do hit the market. Burton approximates that 98 percent of the refurbished lights he sells are still halogen. The prices of refurbished OR lights, naturally, are significantly less than those of new. [For] around $1,000 you could probably get a set of OR lights if theyre older and not in the best condition.
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Some refurbished halogen lights could cost upwards of $8,000, he says, and refurbished LEDs are typically twice that amount. Even though the halogens may not be quite what LEDs are, theyre still good lights that doctors have used for years, says Burton. If they can maintain those and keep them in good working order, then they can use that money for other areas of their budget that have been constrained. Burton says that most of his customers shopping for refurbished OR
The U.S. operating room equipment market, which is the largest, was valued at $288.8 million in 2010. It is expected to increase at a compound annual growth rate of 3.9 percent to hit $377.2 million in 2017.
lights are initially looking for LEDs, until they discover the cost; at which time they then decide to buy halogens instead.
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During the 2012 Association of periOperative Nurses Annual Congress being held in New Orleans March 26 -29, TRUMPF is going to launch the TruSystem 7000 mobile general surgical table. As mentioned by Rector, during the development stage of this product, the company collected a significant amount of clinician input for feedback on the design. When this table is introduced, it is very much going to meet the market needs not because we say so, but because we let the market dictate it; the market says so, he says. Also at this years event, Berchtold will introduce the Chromophare F Class Surgical Lights, which use 104 customized LEDs and multiples that produce more than 650 overlapping beams in the surgical field, according to Isley. The F Class Surgical Lights use an energy efficient light source to power the light, while using reflection to create the depth of field and homogenous column of light that LEDs cannot produce on their own, says James Townsend, Berchtolds manager of research and development.
Homing in on hybrid ORs
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Nowadays, more and more medical facilities are offering hybrid OR solutions. More complex procedures, hybrid proceduresinvolving several medical specialties, each with their own equipment and imaging needs have given rise to the hybrid OR, where each specialty can perform their part of a complex procedure in a single room with all the products and functions that they would have in their own dedicated specialty room,
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says Walt Hoffman, group marketing manager of hybrid OR therapy for MAQUET. Theres a lot that goes into a hybrid OR installation; for starters, a facility needs to allocate a great deal of space in order to accommodate all of the bulky equipment that it requires. Dick Werner, product manager of vascular X-ray for Toshiba America Medical Systems, says that a hybrid OR is almost always bigger than a conventional OR and that it should be at least 900 square feet in size (traditional ORs are usually around 600 to 800 square feet). Once a large enough room is designated for the construction of a hybrid OR, its infrastructure must be altered. They have to put lead in the walls and ceiling, depending on what is in the adjacent spaces, says Werner. For instance, if there are offices above the room, then they have to protect the people sitting above that room from radiation just as they would adjacent wall space. So it makes the real estate more expensive because you have to prepare for the environment, not to mention the usual laminar airflow and clean surfaces [standards] that any OR is held to these days. Not only does a hybrid OR need to be big; it also needs to have a wellconceived floor plan and easy-tomove equipment in order to maximize workflow efficiency. The criticality is not room size, but the layout of the room, so that you create those paths for what we call circulation, says Palmer. The most important things in any hybrid OR are patient access, anesthesia access and room for operat-
ing, says Sudhir Kulkarni, segment director of hybrid OR for Siemens Healthcare. When necessary, the systems should be getting out of the way very quickly and very easily. There are many upsides to building a hybrid OR, one of which is that it allows a hospital to attract high-end clinicians, who, in turn, bring in more patients. The downside, of course, is the depths at which hospitals must reach into their pockets to fund the project. The cost of equipping a hybrid
OR suite can vary from as little as $150,000 to up to several million, depending on how modern the surgical and imaging equipment is at the hospital, says Hoffman. New construction can easily double that. According to Hoffman, although a hospital will need to dish out a large lump of cash to construct a hybrid OR, they will most likely break even on their investment within the first few years. By providing one operating room where more medical specialties can
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perform procedures with all the specialized equipment and products that these surgical procedures require, the hybrid OR can actually reduce the demand for multiple specialty OR rooms, he says. By allowing medical specialty teams to treat the patient without the need to transport the patient, complications can be reduced and outcomes improved. Robert Popilock, manager of strategic alliances and hybrid OR for STERIS gets to the heart of the matter. The potential of hybrid ORs is still in its adolescence, he says.
One Facilitys OR Story

In any given OR suite at the NYU Langone Medical Center in New York, there are TRUMPF, KLM or STERIS lights; Leica or Zeiss microscopes; and Skytron, STERIS, Osi, MAQUET, Berchtold or Jackson tables, depending on the type of procedure being performed. Our preference is to purchase or lease new equipment, but we are open to looking at refurbished equipment as it can be cost effective if the product meets our high clinical standards, says Maureen Fitzpatrick, the hospitals vice president of perioperative services. We will look at key factors including the age of the equipment, its current condition and its history of repairs.We also work closely with Clinical Engineering and our department chairs to forecast what our new OR equipment needs will be. At the facility there is a designated Department of Biomedical Engineering worker who periodically evaluates OR equipment in order to determine whether or not repairs are necessary. If so, the equipment is either fixed by a third-party vendor or the OEM, depending on the existence of a service contract. NYU Langone Medical Center features a Robotic Surgery Center, which provides robot-assisted minimally-invasive procedures in the areas of gynecology and urology, as well as general and cardiothoracic surgery. The center uses the da Vinci Si Surgical System, considered the most sophisticated robotic surgical technology to date. In addition to the Robotic Surgery Center, the stateof-the-art facility offers a hybrid operating room, introduced last year. The [hybrid] OR, located on the sixth floor of Tisch Hospital at NYU Langone, is comprised of a large operating room, control room, stationary X-ray technology, high-tech surgical table, three large high-definition plasma monitors, video cameras and three computer systems, says Zaida I. Jacoby, the hospitals director of perioperative servicesand director of the surgical technology program. Physicians in the hybrid operating room can leverage its built-in X-ray imaging and videointegrated technology for minimally invasive surgical procedures on organs, arteries and veins. These high-powered images of the surgical field are visible in 3-D on high-definition plasma monitors.
Hybrids will continue to evolve
The popularity of hybrid ORs will continue to increase in the future, marrying the surgical and radiographic specialties in hospitals across the globe. I believe that the hybrid operating rooms [are] not only here to stay, but I think thats going to grow, says Siemens Kulkarni, noting that the company continues to see an increasing number of installations. The future of the OR suite sector is undoubtedly going to focus on integration and innovative technology, says MAQUETs Jefferson. Jefferson says hospitals desire universal operating rooms to be utilized by all disciplines and surgery types. To make this happen, facilities want a versatile surgical workplace with products that can provide any type of surgeon with the lights, tables and devices they need. The goals of forward-thinking hospitals will be to incorporate the most advanced technologies, improve OR efficiency and improve patient outcomes.
I march 2012
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Company - Domestic DGA Medical,LLC enBio, Corp. Green Cross Medical/ GOMED Ready Medical JTec Surgical, Inc. Toshiba America Medical Systems Asset Equip Store Quest Medical Supply, Inc. Sunnex Inc Inex Surgical Camera & Power Repair, Inc. Beacon Surgical PRN Saffire Medical Action Products Medical Service Solutions, LLC Midbrook Medical MedRepair LLC Clinical Imaging Systems, Inc. MAQUET Medical Systems USA STS North America Biodex Medical Systems, Inc. STERIS Corporation MedSource CES, Inc. NUVO, Inc. Berchtold TRUMPF Medical Systems Monterrey Medical Equipment Strategic Surgical Solutions, LLC Company - International ANDA Medical Deans Medical Equipment Contact Name Doug Anderson Arthur Zenian G. John Oggel Lisa Vanesco Kevin Jones Dick Werner Debbie Rice Clinton Courson Anders Utter Danny Tipei Jerry Burton Bob Gaw Alda Clemmey Janet Kaplan Jacqueline Michaud Jamie Crowley Jerry Gebauer Ryan Gilday Walt Hoffman James Graham Richard Schubert Robin Baum Bob Adair Brett Mesina James Townsend Steve Palmer Juan Sandoval James Volbracht Contact Name David Lapenat Nasir Khan City Phoenix Burbank Camarillo Paramount Santa Ana Tustin Bradenton Longwood St Petersburg Niles Churubusco Fall River Taunton Hagerstown Waldorf Jackson Portage Manalapan Wayne Hauppauge Shirley Mentor Oklahoma City Erie Charleston Charleston San Antonio New Berlin City Ontario Peshawar State AZ CA CA CA CA CA FL FL FL IL IN MA MA MD MD MI MI NJ NJ NY NY OH OK PA SC SC TX WI State Canada Pakistan Certified DM100
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DOTmedbusiness news
I march 2012
The start of endoscopys reign

Endoscopy at the top of the market with arthroscopy following suit
By Diana Bradley
FUJIFILM Medical Systems U.S.A., Inc., supplies FUJINON brand endoscopes.
I march 2012
www.dotmed.com
hen faced with surgery, it goes without saying that patients favor the most minimally invasive route. This is why physicians now regard new and innovative endoscopic devices as the primary method of diagnosis and treatment ahead of imaging scans. Enabling access to hard-to-reach regions of the body, endoscopic procedures enhance patient outcomes and reduce hospital stay and recovery times. So it comes as little surprise that endoscopy is among the top growing sectors in the medical device industry. Generating sales of $23.3 billion in 2010, the global market for endoscopy devices will rapidly grow to $49 billion by 2017 and $75.8 billion by 2022, forecasts business information provider visiongains Jan. report, Endoscopy Devices: World Market Outlook 2012-2022. The leader in the global rigid endoscopes market is Karl Storz, with a market share of 36 percent, followed by Olympus Medical Systems Corp. with a 32 percent market share. Richard Wolf GmbH, Stryker Corporation and B. Braun Melsungen AG also have significant presence in the market, according to research firm GlobalDatas July report, Rigid Endoscopes - Global Pipeline Analysis, Competitive Landscape and Market Forecasts to 2017. As of 2010, companies that accounted for 90 percent of the global market share for the flexible endoscopes market were Olympus, with a market share of 67 percent; followed by Fujifilm and Hoya, says GlobalDatas July report, Flexible Endoscopes - Global Pipeline Analysis, Competitive Landscape and Market Forecasts to 2017. On the refurb side, Olympus has continued to triumph, with the most sought-after products being the Olympus Q160 series of scopes, according to Harvey Buxbaum, president of HMB Endoscopy Products. These scopes produce excellent full screen images with magnificent resolution, so the demand for the Q series is high, he says. However, supply is relatively low, thus keeping the prices from trending downward as the equipment ages. The endoscopy industry has also seen much consolidation in the past year. Mark Waite, CEO of the Portland, Maine-based Lighthouse Imaging Corporation, says one of the biggest stories was in September when scope repair company SterilMed was acquired by original equipment manufacturer Ethicon Endo-Surgery, a division of Johnson & Johnson. He notes that a big chunk of the markets consolidation is due to increased OR integration. A company like Karl Storz can go into a hospital and say, We can outfit the whole OR with beds, lights, endoscopy equipment and scopes, says Waite. If youre a company only focused on endoscopy equipment, you are probably not going to get designed into some of the bigger hospitals; youre going to have to focus on a certain niche.
erate growth through 2016, according to the Millennium Research Group, Inc.s November report, US Markets for Arthroscopy Devices 2012. The market will double to over $4.2 billion by 2017, adds iDatas June 2011 report series on the markets for U.S. Arthroscopic Devices and U.S. Soft-Tissue Repair.
A single capsule endoscopy costs around $1,000 and produces about 50,000 images for doctors to read within 30 to 90 minutes
In 2010, knee and shoulder procedures dominated the over 4 million arthroscopies performed in the U.S.; however, the hip arthroscopy segment is the fastest growing, according to the report. Small joint and hip arthroscopy procedure volumes have increased, along with shoulder arthroscopy procedures, says Dr. Simon Moyes, consultant orthopaedic surgeon at the Wellington Hospital in London. I perform a lot of ankle arthroscopy and suspect that instruments designed for accessing the posterior
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compartment of the ankle joint will evolve as will curved arthroscopic instruments to access the dome of the talus together with the evolution of the radio frequency probe, he says. In the hip, I see the evolution of more and more arthroscopic suturing techniques for labral repairs. In the U.S., an increasing number of sports-related injuries and advancements will fuel the arthroscopy device market, according to Milleniums report. Certainly more and more people indulging in sports are sustaining sport related injuries and the natural evolution of arthroscopic surgery means more and more arthroscopies are being performed, says Moyes. This is also fuelled by generally increased longevity of people in the west. Moyes cites radio frequency probes (probes which are more powerful and produce fewer bubbles in the joint therefore affording better visibility with less risk of thermal damage) from companies like Mitek; and Smith & Nephews platinum, multi-functional blades, as being the hottest commodities of the moment among arthroscopic surgeons.
Endoscopy utilization increases as cancer and obesity rates escalate
Within the soft tissue and sports medicine market, companies such as Arthrex, ArthroCare, ConMed Linvatec, DePuy Mitek, Smith & Nephew and Stryker lead the market. Smith & Nephew and Arthrex lead the hip arthroscopy market, while Stryker recently launched its platform in a bid to gain market share in this growing segment.
The U.S. represents the single largest regional endoscopy market worldwide and the market, along with American citizens, is growing. Demand for gastrointestinal endoscopy is rising, with many turning to gastric bypass and gastric banding to aid in their weight-loss as obesity rates soar. Asia-Pacific represents the fastest growing regional market displaying a compound annual growth rate of 8.3 percent over a six-year historic analysis, according to research firm Global Industry Analysts, Inc.s October report, Endoscopy Systems - Global Strategic Business Report. With economies in Brazil, Russia, India and China on the rise, Visiongains report predicts that increased wealth will lead to a hike in health care spending, medical insurance coverage and adoption of westernized lifestyles particularly diet. Consequently, obesity and cardiovascular disease instances will ramp up, resulting in an increase of laparoscopic weight-loss procedures.
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Public health officials sent out more than 6,800 letters to residents indicating that patients might have been exposed to hepatitis B, hepatitis C or HIV due to the clinics carelessness.
But the major force driving the endoscopy equipment market will continue to be colonoscopy screenings, according to Buxbaum. With more than 1 million new cases of colorectal cancer reported each year worldwide, cancer is one of the leading reasons for surgery. Speaking for flexible endoscopy, it seems as if colon cancer awareness has increased the number of colonoscopy screenings and therapeutic colonoscopy procedures, says Buxbaum. In addition, the development of newer, less invasive endoscopic procedures for other gastrointestinal medical conditions, have also added to the number of procedures being performed. 50 percent of Americans who should be screened for colon cancer avoid a colonoscopy, according to the Centers for Disease Control and Preventions most recent statistics. But the mortality rate can be reduced by up to 90 percent by colonoscopies and capsule endoscopies.
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Capsule endscopes advance and gain popularity
Capsule endoscopy has been one of the fastest areas of revenue growth for gastrointestinal device manufacturers,
I march 2012
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There is an industry-driven demand for quality outcomes and benchmarking, but historic Centers for Disease Control and Prevention data indicates that the market demand that will exist for future colonoscopy screenings cannot be met by the current supply of product, room time and procedure time.
annually growing 12.9 percent since 2007, notes research firm Kalorama Informations January report. Approved in the U.S. in 2000, capsule endoscopy is a way to see what is going on in the middle of the small intestine, which scopes for colonoscopy and upper endoscopy cannot reach. A single capsule endoscopy costs around $1,000 and produces about 50,000 images for doctors to read within 30 to 90 minutes, which elevates the risk of missing something. Brigham and Womens Hospital in Boston and Tel Aviv Universitys researchers are currently creating an MRI-guided capsule that provides images of the digestive tract. This technology may help ease fears associated with colonoscopy screenings. Researchers say the new device would improve upon current technology, combining the endoscopes control and real-time imaging with the safety and ease of a pill. Steered with wireless and MRI technologies, the new capsule can swim with the magnetic current, with tails made out of copper coils and flexible polymer. It is still early days for the device, which still needs to undergo animal testing and trials before entering mainstream treatment. The tiny cameras on current capsule endoscopy technology only capture images at random intervals, rendering the technology ineffective in cancer screening. To confirm diagnosis, it is common for patients to require a second procedure. Although the procedure is considered low-risk, about one percent of the time, the capsule has a chance of becoming lodged in the digestive tract, which may require removal with a scope or through surgery. But aside from obstacles with capsule endoscopy technology, human error is also a major issue. In a study published in the American Journal of Gastroenterology in January, researchers found that doctors who read results from pill cameras often fail to catch abnormalities. Doctors in the study were only able to detect between 43 percent and 47 percent of abnormalities, when looking at images in three of the four most commonly used reading modes. With the fourth reading mode, doctors only detected 26 percent of abnormalities. Researchers recommended that to counteract this issue, a second doctor should look at capsule endoscopy images to help avoid misses.
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Regardless of risks, the technologys benefits to patients are considerable. As a non-invasive approach to diagnosing conditions in the small bowel and detecting small pathologies, the technology is also cost-effective, administered on an outpatient basis. As far as diagnostic equipment goes, I think pill cams are a big advancement, says Chris Leman, senior vice president of refurb company, Scope Connection. A pill can go virtually through the whole GI tract, providing images for diagnoses that were only accessible in the past through surgery. Major endoscopic capsule suppliers include Given Imaging with its PillCam Capsule; and Olympus who in September 2007, as part of the EnteroPro brand of products, launched the Endo Capsule for visualizing small bowel mucosa. Olympus product uses six LEDs, which offer automatic lighting, two images per second transmission and an eight-hour recording time. There is talk that they are working on pill cameras with therapeutic capabilities, Leman says. Maybe small biopsies and things like that. sales and marketing for Fujifilm Medical Systems U.S.A., Inc.s Endoscopy Division. Two specific areas that come to mind are ablative therapies for Barretts esophagus, and device-assisted deep small bowel enteroscopy such as double balloon enteroscopy, adds Dr. Stephen Heller, associate professor of medicine at Temple Universitys Division of Gastroenterology at Fox Chase Cancer Center, Philadelphia, Pa. Double balloon enteroscopy has opened a new frontier of minimally invasive access to the small intestine, with the ability to diagnose and treat diseases of the small bowel which were previously directly accessible only via surgery. Another major development in endoscope technology has been the emergence of 3D high definition imaging. HD previously only really known as a consumer term for TVs has now crossed over into the medical technology industry. LED sources or bulbs are also more commonplace in the market today. But these advancements come with higher price tags. In the case of a light source that is now using an LED source or bulb, the cost is justified because an LED source is going to last much longer, will stay brighter for longer and consumes a lot less power, says Waite. If you are able to pay slightly more at the purchase point and your savings are realized on an ongoing basis, thats good business. The growing preference of disposable instruments over conventional re-usable instruments will also be a great aid to the endoscopy systems market. Disposables are in many ways easier to manage, as they cut down on disinfection costs and the specter of transmitting infection in the endoscopy unit, says Heller. As for the future of flexible endoscopic procedures, natural orifice transluminal endoscopic surgery a minimally invasive surgical procedure allowing access to internal organs using a flexible endoscope is expected to extend flexible endoscopes capabilities for use in more advanced interventions and surgical procedures, enabling more sophisticated diagnosis and therapy options.
New techniques and technologies
There has been an increased development and interest in improving core imaging technologies through contrast enhancement, optical biopsy technologies and endoscopic ultrasound, explains Kurt Cannon, the vice president of
Safety and quality concerns
A red flag has recently been raised regarding quality assurance in endoscopy and not just in the U.S. In October, it was discovered that a non-hospital clinic in Ottawa was not following proper cleaning and infection prevention procedures with its endoscopic equipment. Public health officials sent out more than 6,800 letters to residents indicating that patients might have been exposed to hepatitis B, hepatitis C or HIV due to the clinics carelessness. As of January, the Canadian Association of Gastroenterology has new Consensus Guidelines on Safety and Quality Indicators in Endoscopy, developed by a group of 35 Canadian, European and U.S.-based participants. The quality of colonoscopy reporting and performance in daily clinical practice was also recently assessed by researchers in the Netherlands, in a study printed in the January issue of GIE: Gastrointestinal Endoscopy, the American Society for Gastrointestinal Endoscopys scientific journal. While
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colonoscopy performance met the suggested standards, researchers found it varied considerably between endoscopy departments. The study highlighted the importance of implementing and monitoring quality indicators and guidelines to improve both colonoscopy reporting and performance. In 2010, the Joint Commission (in their Elements of Performance for EC.02.04.01, EC.02.04.03) stated that endoscopes are to be tested before use. But according to Waite, many are not. He believes this glaring omission needs to be addressed. At the moment, a lot of attention is being paid to endoscopes in general and how they are being used, now that they need to be tracked in the hospitals, he explains. And so thats raised a lot of awareness in the hospitals clinical and biomedical engineering departments. They have started to look for tools to be able to track the scopes to measure quality, but there hasnt really been anyone monitoring quality of endoscopes in the hospital.
Lighthouse Imaging Corporation's EndoBench Endoscope Image Quality Tester.
Lighthouse Imaging is the only company currently manufacturing an instrument that quantitatively measures the image quality of
scopes the EndoBench Endoscope Image Quality Tester. The EndoBench measures a scopes image quality using image processing or a
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machine vision system. Historically, instead of a computer, the human eye was relied upon to look at a target through the scope and make a qualitative or subjective assessment regarding the quality of the scope. Companies making non-medical optics, including photography equipment have been using quantitative measurement metrics for years, according to Waite. But his company is the first to bring those measurement metrics to the medical optics industry. What a technician sees at 8 a.m. is different than what the same technician sees at 4 p.m.; after 8 hours their eyes get tired, says Waite. Thats not really a repeatable assessment. But the EndoBench makes repeatable measurements. Better-managing scopes and using quantitative means for measuring quality, Waite adds, also enables hospitals to save a significant amount of money. bursement for performing colonoscopy screenings. There is an industry-driven demand for quality outcomes and benchmarking, but historic Centers for Disease Control and Prevention data indicates that the market demand that will exist for future colonoscopy screenings cannot be met by the current supply of product, room time and procedure time. Further to this, increasingly strict FDA regulations are slowing the clearance process for endoscopic equipment, which could impact the sectors technological advancement. In addition, the proposed 2 percent tax on medical devices may begin to show an impact on the industrys ability to support education, fund research and development and develop new technologies in the U.S. In general, increasing regulations at the FDA are impacting the entire device manufacturing industry, says Cannon. Overall summary is that an increase in patient population with a potential decrease in reimbursement will certainly have an impact on the market sector. Despite these challenges, the future of the endoscopy devices market appears promising and has significant potential for growth and investment with the increasing demand for safer, less invasive therapies.
Challenges: Regulations and legislations
There is a perfect storm with regards to health care reform in the endoscopy market, according to Fujis Cannon. He notes that while health care reform has provided easier access to colonoscopy screenings for patients, potential health care legislation drives down the reim-
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DOTmed Registered Endoscopy/Arthroscopy Sales & Service Companies

Company - Domestic Zgrum Medical Advanced Endoscopy Devices, Inc. Scope Connection Global Medical Sales and Repair Mediflex, Inc Requests International SH Medical Corp American Medical Endoscopy HMB Endoscopy Products Quest Medical Supply, Inc. SH Medical Corp Danan Medical Systems Advanced Endoscopy Solutions West Coast Medical Resources MTM Medical PMR Medical Devices RRC Rigid Repair Center Authorized Acquisitions Alternative Source Medical Kingsbridge Healthcare Contact Name Alberto Voli Gayle Butler Chris Leman Mark Charaf David Weiss Ramon Manalo, Jr. Marcelo Salvade Carolina Olivera Harvey Buxbaum Clinton Courson Marcelo Salvade Daniel Finerman Bruce Mason Randy Ware Matt McRoberts Tony Anzalone City Tucson Canoga Park Inglewood Long Beach Rancho Cucamonga Stevenson Ranch Doral Doral Hollywood Longwood Miami Ormond Beach Ormond Beach Seminole Tequesta Wellington Wellington Mokena Buffalo Grove Lake Forest Niles Fall River Fall River Southbridge Taunton Beltsville Towson Portland Dearborn Burnsville Bridgeton Chesterfield Greensboro Cincinnati Stowe Fort Mill Maryville Nashville Colleyville City Ontario Guangdong Strasbourg Holon Tokyo Pune Peshawar Rio de Janeiro Ankara State AZ CA CA CA CA CA FL FL FL FL FL FL FL FL FL FL FL IL IL IL IL MA MA MA MA MD MD ME MI MN MO MO NC OH OH SC TN TN TX Certified DM100
Todd Abrams Scott Mattfeld Monte Montain Mike Solot Inex Surgical Camera & Power Repair, Inc Danny Tipei Coast To Coast Medical Kevin Blaser PRN Bob Gaw Medical Device Store Christine Marley Saffire Medical Alda Clemmey MedServ International - EndoCure Technologies Wendell Haight OEM Medical Solutions Dave Reier Lighthouse Imaging Corporation Mark Waite Medstar Dina Helmi Medical Recovery Company Inc. Kurt Nierengarten Endoscopy Development Company Marcus Rosenberg Life Systems, Inc. Lori Morrison Sterilmed Eddie Soto Pro Scope Systems Stuart Jackson Spectrum Surgical Jim Rygiel US Medical Systems Tom Boston Surgical Device Repair Inc. Sean McCauley Pilot Medical Addam Arrington Dobbs Medical Pamela Dobbs Company - International Endosource, Inc. DODODO Medical Equipment AGITO Medical All 2 Med M-Cast INC SaikrupaEnterprises DEANS MEDICAL EQUIPMENT Endoscopy Solutions TEPA, Inc. Contact Name M. Ashfaq Welshen Gao Patrick Chapus Sharon Liran Hiroyoshi Miyama Sunil Kanjwani Nasir Khan Notwen Cardozo Mehmet Er
DM100
State Certified Canada China France Israel Japan Maharashtra Pakistan RJ Turkey
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Keeping current and providing a safer practice
AORN president Anne Marie Herlehy, DNP, RN, CNOR
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epresenting more than one quarter of all the perioperative nurses in the country, AORN steers nursing practices for the better. On the eve of the Association of periOperative Registered Nurses annual show and conference, current association president Anne Marie Herlehy took some time to speak with DOTmed News about the associations goals, the evolving roles of perioperative nurses and a little bit about how she came to be the president of the prestigious group. DMBN: So your term as president of AORN is drawing to a close, but getting appointed had to be a long journey. How did you get interested in health care as a career? Herlehy: In part, it stemmed from having ill family members that we took care of. So I always wanted to be a nurse, I was just unsure of the specialty. In nursing school, I did clinical rotations and the teamoriented nature of the OR drew me. During my time working there, I had a nurse supervisor, Joan Uebele, who became my mentor. She encouraged me to work toward my masters and doctorate and also introduced me to AORN. It was intriguing to see fellow nurses gather and share information about the things that were impacting their careers. DMBN: How long have you been in health care and has there been an achievement that stands out? Herlehy: I graduated nursing school and went directly into the operating room in 1993, close to 20 years. While I was in nursing school, someone asked me what my career goals were. I said I wanted to be able to influence the practice of every perioperative nurse in the U.S. So, my greatest achievement has been the realization of that goal when I became the president of AORN. DMBN: And during your time as president, what initiatives have you championed? Herlehy: The association as a whole has come up with initiatives, rather than the individual. So weve pushed technology including making access easier for our members. Another standout is our recommended practices. Weve created links and ranked the practices, qualifying and quantifying our work making it appropriate for nurses to use. Its offered in Word and pdf. formats, giving nurses the ability to edit the lists to suit their needs. Our immediate past president, Charlotte Guglielemi, was a real driver on that tool.
that influence. AORN membership is roughly 41,000 members, or a little over a quarter of that 160,000. The privileges of being a member allows them to be privy to educational offerings, but more importantly, helps them to partner with those in the industry. DMBN: What will your involvement be with the association post-presidency? Herlehy: I will automatically become a liaison for our nominating committee. Beyond that, my role will be dependent on the incoming president. AORN serves on 30 professional associations and committees to shape safe surgical practices, I will participate in any committee the president wants me to be a part of.
Check out the AORN Show and Conference Preview on page 63.
DMBN: What achievements are you most proud of from your time as president? Herlehy: I would have to say moving along the recommended practices, moving the perioperative practice to be very safe. DMBN: Revisiting an earlier response you offered, how can and does AORN help to shape the countrys health care? Herlehy: There is an estimated 160,000 perioperative nurses in the U.S. our goal and desire is to tie the interest of those nurses, whether through practices, being the voice and giving the what, when and why of our practice and being DMBN: What suggestions can you offer for those interested in learning more about the association? Herlehy: I recommend they attend local chapter meetings. Weve also worked hard to deliver ways for members and potential members to access a lot of information online, so thats a great tool as well. I also want to make a recommendation beyond AORN membership involvement: be knowledgeable and work to keep current. Dont continue to do something because its a sacred practice do it because its relevant, because it works.
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Sterilizers: A hospitals first line of defense against infection

By Joanna Padovano
Alfa Medical refurbished Pelton & Crane sterilizer
lthough the public seldom thinks about sterilizers, they are one of the most important parts of maintaining a safe medical facility. Without a properly functioning sterilizer, patients are at risk of contracting potentially life-threatening infections. Depending on the type, manufacturer and size, a new sterilizer can cost anywhere from $50,000 to well over $300,000. Mount Sinai Hospital in New York currently uses five steam and eight low-temperature sterilizers, all of which were purchased new, says Binchu John, the hospitals sterilizing processing department director. Each unit typically runs between 11 and 15 loads per day. When one of the systems malfunctions, the facility utilizes its service contract and calls the manufacturer to come in
and fix it. Do not replace sterilizers unless [theyre] beyond repair, says John. With proper maintenance, health care facilities will have over a decade to make a return on their investment. There are many ways an end-user can extend the life of their sterilizer equipment. But one of the most important is to regularly perform preventive maintenance, such as cleansing every sterilizer with a liquid cleaner. If you run six cycles a day, then you should clean it once a week; if you run three cycles a day, you should clean it every two weeks, says Shlomo Savyon, president of Alfa Medical, a sterilizer refurbishing, sales and service company. You should run a cycle without any instrumentsjust with the liquid cleanerand that will clean the pipes, the valves [and] it will coat the internal components to avoid rust and scaling.
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Sterilizer market moving again
According to Sterilization Equipment and Supplies Global Strategic Business Report, published by Global Industry Analysts in October 2011, the growth of the global sterilization equipment and supplies market slowed in 2009 due to the economic recession, which caused many hospitals to postpone buying new medical equipment. In 2010, however, the market experienced growth, driven largely by the increasing demand for infection control. Moving forward, the report predicts that the global sterilization equipment and supplies market will be fueled by the necessity to replace or upgrade old equipment in order to stay technologically up-to-date. In addition, the anticipated increase in surgeries will create more of a demand for sterilization equipment in the future. In a saga stretching nearly four years, the final chapter of the STERIS SYSTEM 1 processor recall is set to close on August 2, 2012. DOTmed News offers a look back at the issues and a look at how STERIS is making strides in replacing the SYSTEM 1 processor with the SYSTEM 1E Liquid Chemical Sterilant Processing System. We also look at how the new system has been received by the market. Read the timeline and the latest updates online at: www.dotmed.com/news/18224 or type DM18224 into any search window on the site.
ASP STERRAD 100NX low temperature sterilizer
ilizer is in the process of being refurbished, it must be returned to the operating characteristics that were set by its original manufacturer. Without FDA approval, a refurbisher cannot add any new features onto a system. With that reassurance, dealing with a reputable refurb company can save big money. Versus new, youre going to see a savings of about 30 to 50 percent, says Clay Morris, sales manager of Auxo Medical.
Low-temperature in high demand
Out of all the different methods available, gas plasma sterilizationa type of low-temperature sterilizationwas determined to be the fastest growing segment of the market with yearly sales at a compound annual growth rate of nearly 9 percent, according to the Global Industry Analysts report. The popularity of low-temperature sterilizers is in part due to the equipments ability to sterilize a wide array of materials, including items that wouldnt tolerate high heat sterilization. Within the realm of low-temperature, some changes have taken place. Ethylene oxide sterilizers were the standard for devices requiring low-temperature processing, says Renee Brown, product manager of low temperature sterilizers for STERIS, a sterilizer manufacturer, but recently, there has been a shift away from ethylene oxide to other low temperature modalities such as hydrogen peroxide sterilization, which offers short cycle times and increased productivity. Low-temperature sterilizers include the Amsco V-Pro, launched by STERIS toward the end of 2011, which offers three different cycle options25, 35 and 55 minutesdepending on the type of instruments that are being sterilized and a line of Sterrad Systems by Advanced Sterilization Products (a Johnson & Johnson company), which use low-temperature hydrogen peroxide gas plasma sterilization technology.
Refurbished keeps hospitals humming
For many facilities with tight budgets, shopping for refurbished units has become an attractive alternative. When a sterDOTmedbusiness news
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ing are essential, as they provide the data you need should A provider of remanufactured sterilizers, Auxo Medical an infection occur, she says. says its customer base consists of mainly surgery centers, Michael Cain, senior product marketing manager of N.A. although it also sells to hospitals, medical facilities and laboSterilization for Getinge USAa sterilizer manufactureis ratories. Jay Crabtree, the companys president, says he saw significant growth in sales last year. In the past couple years, even some Quality assurance smaller medical centers that typically One of the ways to check if a sterilizer is working properly is by running a wouldnt consider refurbished equipbiological spore test, during which a non-pathogenic spore is placed inside ment have really given remanufactured part of a sterilizers chamber that is least likely to be penetrated. After running and refurbished equipmentespecially a cycle, a sample is cultured for 72 hours to determine if the spore was killed. in sterilizationa second look and a lot If it was not, the sterilizer should be taken out of service until it is fixed. more consideration, says Morris. Surgery centers have typically looked at return on capital, but now even some of the smaller certain that although low-temperature sterilizers are on the regional hospitals are starting to say that they might be able to rise, their steam counterparts are here to stay. The steam get a better return on their investment as well, Crabtree says. sterilization segment looks stable for years to come, despite increases in low-temperature processes, he says. According to Crabtree, steam sterilizers are not exDigitalization and terminal sterilization pected to introduce any new groundbreaking technology Similar to many other sectors, with radiography being the in the future. Its a pretty mature market in a lot of ways, prime example, sterilizers are trending more and more the technology and the science behind steam sterilizatoward digital technology. tion hasnt changed a great deal, and theres not too many According to Alfa Medical Savyon, the first digital/ gee-whiz features you can add to a steam sterilizer these automatic sterilizer was the Validator, created by Pelton & days, he says. Like in lights, you can go from halogen to Crane approximately two decades ago. Automatic sterilLED, which is a big change. Youre not going find that sort izers, as opposed to manual ones, are often equipped with of change when youre talking about sterilization. high-tech features such as self-diagnostic software, display codes for troubleshooting assistance, water guards to Online: dotmed.com/dm18108 avoid leaking condensation, and extra valve ports to speed up the venting process. Another trend, according to Barbara Trattler, ASPs director of clinical education, is that an increasing amount of medical facilities are using terminal sterilization, as opposed to immediate-use sterilization (previously known as flash sterilization). The former refers to the process of instruments being sterilized within some sort of packaging, enabling them to be stored for future use. The latter describes when unwrapped instruments are exposed to a steam sterilization cycle and then used right away. Sterile processing leaders are taking responsibility for ensuring their facility has the processes in place to meet current standards for best practices in sterilization, says Trattler. This has resulted in a focus on minimizing immediate-use sterilization, which, as the name suggests, requires the immediate use of the processed device. Terminal sterilization allows health care facilities the flexibility of having dry, packaged devices delivered to the OR for use in a scheduled procedure or stored for use at a later time.
Steady growth to come
In the coming years, Savyon forecasts that sterilizer technologys move to digital will drive prices up. The smarter you make the sterilizer, the more expensive its going to be, he says. Trattler feels that the need for better sterilization documentation methods will increase in the future. For purposes of traceability and protection for both the patient and health care facility, documentation and record-keepDOTmedbusiness news
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Answering Questions Regarding the FDA Announcement on the STERIS System 1 Transition Deadline
By Barbara Trattler, RN, MPA, CNOR, CNA
On December 22, 2011 the U.S. Food and Drug Administration (FDA) announced that STERIS can continue to provide support on the STERIS System 1 (SS1) through August 2, 2012. However, this only applies to customers who have completed the following: Placed an order for a legally-marketed alternative technology to replace all SS1s Completed a Certificate of Transition Returned the completed certificate to STERIS corporation
This is important for healthcare facilities that rely on the SS1 to process critical devices and must purchase a replacement option. At Advanced Sterilization Products (ASP), we have received many questions from customers regarding the December 22 FDA announcement on the SS1 transition deadline. Q. Do I have another six months to purchase an alternative to my SS1? A. No. The deadline to purchase a legally-marketed alternative remains February 2, 2012. However, healthcare facilities that have open orders to replace their SS1(s) and have completed the STERIS Certificate of Transition by February 2, 2012, may continue receiving support for their SS1(s) through August 2, 2012. Q. What do I need to do by the February 2, 2012 deadline? A. If you have not already, place your order for an alternative technology and fill out the Certificate of Transition. If you have ordered a replacement system that will not be installed prior to February 2, 2012, you should also complete theCertificate of Transition so that there is no disruption to device processing at your facility.
Ethicon, Inc. 2012. STERIS System 1 and System 1E are registered trademarks of the STERIS Corporation. AORN is a registered trademark of AORN, Inc. AORN does not endorse any commercial companys products or services.
Q. What alternatives to the SS1 does ASP offer? A. The ASP STERRAD NX System uses a hydrogen peroxide gas plasma sterilization process that provides the sterility assurance level (SAL) of 10-6 that you require for processing heat-sensitive critical devices. The STERRAD CYCLESURE 24 Biological Indicator (BI) provides evidence of proper sterilization conditions in accordance with AAMI, AORN , and CDC guidelines. For high-level disinfection, we offer the EVOTECH Endoscope Cleaner and Reprocessor (ECR), the first commercially available system that both cleans* and high-level disinfects endoscopes. The system makes labor-intensive and time-consuming manual endoscope processing a thing of the past. Q. If I have placed an order for an ASP system, when will I receive it? A. We have ample supply to help you transition in advance of the August 2, 2012 deadline. The date you receive your system will depend on the readiness of your facility and when you ordered your system. Your ASP representative will contact you with an installation date for your system. For more information, please contact your local ASP representative, visit www.aspjj.com/alternatives or call 888.783.7723. To date, we have successfully helped thousands of facilities upgrade to ASP terminal sterilization and high-level disinfection systems. Using a team approach, our sales associates, service engineers and clinical educators are here to provide world-class service and clinical education support to help your facility make a smooth transition. ASP currently offers a variety of purchase programs, including financing and deferred payment options, designed to help you elevate the standard of care for your patients. ASP currently offers trade in incentives for your STERIS System 1 and STERIS System 1E against the purchase of an ASP system. Please contact your local representative or call 888.783.7723 for complete terms and conditions.
For more answers to your pressing questions, please visit www.aspjj.com for the ongoing ASP Video Webisode series that will address issues that your facility faces every day. You may also Like Us on Facebook.com/aspjj or Follow Us on Twitter.com/aspjj.com
* Does not eliminate bedside precleaning. Manual cleaning of medical devices (endoscopes) is not required prior to placement in the EVOTECH ECR when selecting those cycles that contain a wash stage. Recommended practices for sterilization in the perioperative practice setting. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc; 2012:561-566
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DOTmed Registered Sterilizers Sales & Service Companies

Company - Domestic Biomedical Professional Services Veterinary Products Distributor LANCER Medical Services, Inc ASP Ready Medical PES Medical Plazza Medical Asset Equipment Store Mercury Medical Alternative Source Medical Coast To Coast Medical PRN Saffire Medical Medical Device Depot Midbrook Medical SterilMed Mediquip Parts Plus Eichenauer Heating Elements Integris Equipment STS North America Getinge DURALINE SYSTEMS Alfa Medical STERIS Corporation MERCO Auxo Medical World Medical Equipment Strategic Surgical Solutions, LLC Contact Name Mitchell Dailey Elry Phillips Ray Smith Jedrix Aquino Lisa Vanesco George Perez Steve Rice Debbie Rice James Ruggiero Monte Montain Kevin Blaser Bob Gaw Alda Clemmey John Gladstein Jamie Crowley Darren Wennen Dave French Robert Gorsuch Lawrence Maroney James Graham Jim Gabalski Darren Walker Shlomo Savyon Robin Baum Krista Kalweit Clay Morris Rich Cram James Volbracht City Clanton Pine Bluff Azusa Irvine Paramount Seal Beach Denver Bradenton Clearwater Buffalo Grove Fall River Fall River Taunton Ellicott City Jackson Maple Grove St. Louis Newport Elma Hauppauge Rochester West Nyack Westbury Mentor Portsmouth Richmond Marysville New Berlin State AL AR CA CA CA CA CO FL FL IL MA MA MA MD MI MN MO NH NY NY NY NY NY OH VA VA WA WI Certified DM100
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The peer-review rankings without equal in the health care industry.

Based on the DOTmed 5-Star Rating System
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DOTmed 100 Equipment Sellers
elcome to this years DOTmed 100! This year, our honorees span the health care industry from A to Z literally in the case of OEMs. If youre in the market for services provided by these companies, the following list should provide a good starting point to identify a company dedicated to providing a good purchasing experience with the feedback to prove it. The lists presented for Equipment Sellers, International Equipment Sellers and Parts Sellers still rely on number of ratings and then the average of those ratings. Meanwhile, the list of Original Equipment Manufacturers is comprised of publicly traded companies with multi-million to multi-billion dollar yearly sales numbers. The OEM list was built off of last years list with facts and figures updated. With the exception of the OEMs, which weve provided web site addresses for, companies found on these lists can be contacted via the DOTmed service directory, with many companies also maintaining DOTmed virtual webstores. We hope you find these lists useful and we welcome your feedback. And remember, if youve had a transaction with a company listing on DOTmed, be sure to rate them. DOTmed is a community and by offering feedback and participating in the community, you help to make it stronger, creating a better experience for you and your peers.
The following list is based on number of ratings and the average score companies received from individuals who made transactions with them through DOTmed during the 2011 calendar year. The order of the list is based on positive feedback, with those receiving the most positive feedback at the top. Those at the bottom of the list didnt necessarily receive any negative feedback, rather, they just received less feedback overall. A top international listing follows at the conclusion of this list. A red dot in a companys column indicates that they are also listed on the DOTmed 100 Parts Companies list.
Company State PRN MA UltraSolutions, Inc. CA International Medical Equipment, Inc. MI Complete Medical Services MI Quest Medical Supply, Inc. FL Advanced Imaging Solutions, Inc. AL Doctors Depot, Inc. FL Green Cross Medical/ GOMED CA R Ventures Medical, Inc. GA Bayland Technologies TX GTS Medical, Inc. CA NorthWest Supply WA Alternative Source Medical IL X-Stream Medical, Inc. TX American International Medical CA Absolute Medical Equipment NY Bay Shore Medical NY C&G Technologies, Inc. IN Elite Medical NY Medical Equipment Dynamics, Inc. MA The Laser Warehouse FL Block Imaging International MI Image Technology Consulting, LLC TX Monet Medical UT Quest Medical Equipment, Inc FL Adam Imaging Parts, Inc. NY Integrity Medical Systems, Inc. FL King Equipment Services, Inc. IL Zgrum Medical AZ Integrated Medical Systems International, Inc. AL KPI Ultrasound CA Nationwide Imaging Services, Inc. NJ OMED of Nevada NV Mid-America Medical TN Realtime Medical Equipment, Inc. NY Saffire Medical MA TH. Medical Equipment (Total Health) FL Venture Medical ReQuip, Inc. FL Crumpton Medical Sales TX Pilot Medical, Inc. TN C&C Medical Solutions Inc. IN Medeco ID Medical Equipment Solutions TX Viable Med Services, Inc. CA All Imaging Systems, Inc. CA American Radiology Resource MD BMX Medical, Inc. MN Express Systems & Parts Network, Inc OH Radiology Solutions LLC MI Southwest Medical Corporation OK Alaka Medical Systems, Inc. NY Dobbs Medical Sales, Inc. TX SH Medical Corp FL AllParts Medical TN Clinical Imaging Systems, Inc. NJ Colossus Medical GA DMS Topline Medical ND Company Type Dealer Dealer Dealer Dealer Dealer Dealer ISO Dealer Dealer Broker Dealer Dealer Dealer Dealer ISO Dealer Dealer ISO Other Dealer Dealer Broker Dealer Dealer Dealer Dealer Dealer Dealer Broker Dealer Dealer Broker Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer ISO Dealer Broker Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Parts 100
Look for 5-Star Ratings when you visit DOTmed.
The DOTmed 100 designation is awarded to the top 100 users with the highest number of positive 5-Star Ratings. But virtually every DOTmed user has a rating most are very positive, but some are not, which is why it has value, because it is an honest peer review system. So look for it when you visit DOTmed, and please rate those people and companies you do business with.
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Company DRS TOY STORE JLS MedEquip Laproman Endoserv LLC 2D Imaging A+ Medical Company, Inc. Bemes Inc. Medical Concepts Medical Imaging Resources Inc. Soma Technology Amber Diagnostics Danan Medical Systems DCSP Medical Med Exchange International, Inc. MedCorp Metropolis International Midwest Imaging MRSBioMed Mylin Medical Systems Inc BMX-RAY INC. Cameron Medical LLC Dura-Med Endoscopy, INC East Coast Medical FHL Services, Inc. Foremost Equipment Global DSR Imaging Associates Inc. Kelley X-Ray Company Longevity, LLC Med-E-Quip Locators, Inc. Pro Scope Systems Shared Medical Services, Inc. tekyard Medical Artec Group Services, LLC Didage Sales Company, Inc. Dixie Medical HealthWare Inc. KMA Remarketing Medimtech LLC Medisales Latinoamerica Northeast Medical Sales, Inc RD Medical RJP International Inc. US Med-Equip Xplore Medical Sales,Inc.
State FL FL MI CA SC MO FL MI CT FL FL OH MA FL NY MO GA IL FL NC FL NY MN NY FL NC TN NY MO OH WI MN FL IN TN IL PA CA CA MA IL NY TX NY
Company Type Dealer Dealer Dealer Broker Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer ISO Broker Dealer Broker Dealer Broker ISO Broker Dealer Dealer Dealer Broker Dealer Dealer Dealer Dealer Dealer Dealer Dealer Broker Dealer ISO Dealer Dealer Broker Exporter Dealer Dealer
Parts 100

Company Type Dealer Exporter Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Broker Dealer Other Dealer ISO ISO Dealer Dealer Dealer ISO ISO Broker Dealer
International Company Country AGITO Medical Denmark India Ultrasound India ADN-Medical Ltd. Israel ANDA Medical Inc. Canada Jean Medical South Korea Mides Austria LBN Medical Denmark Logic S.r.l. Italy Lviv Ukraine Medinet Korea. co. ltd South Korea sitwat medical Pakistan Origin Industries Australia Raynor Shine Ent Canada Sonos Europe srl Italy BIG SEA MEDICAL United Arab Emirates DODODO Medical Equipment Service Co., Ltd. China Medtec GmbH Germany Germany Bazzimed Lebanon Endosource Inc. Canada MED & IT Trading Germany Medical Network Imaging South Africa Medivit Ltd. Ukraine Transducers-International Netherlands EverX Pty Ltd Australia
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DOTmed Top100 Parts Companies

The DOTmed top 100 Parts Companies list is compiled based on a combination of number of ratings and the average score these companies received from individuals who made transactions with them through DOTmed during the 2011 calendar year. Some companies on the list have thousands of parts listed on DOTmed, some just a few. Weve included a specialty column to help you find what youre looking for.
Company PRN American International Medical C&G Technologies, Inc Medical Equipment Dynamics, Inc. The Laser Warehouse Image Technology Consulting, LLC Adam Imaging Parts, Inc. Ultra Solutions Absolute Medical Equipment Integrity Medical Systems, Inc. C&C Medical Solutions Inc. Viable Med Services, Inc. A+ Medical Company, Inc. Bemes Inc. Express Systems & Parts Network, Inc Longevity, LLC Med-E-Quip Locators, Inc. OMED of Nevada Shared Medical Services, Inc. Medimtech LLC RJP International Inc. Advanced Ultrasound Electronics AllParts Medical Duraline Systems J&M Trading, Inc. Nova Technologies, Inc. Amber Diagnostics Block Imaging Parts & Service, Inc. State MA CA IN MA FL TX NY IN NY FL IN IN SC MO OH NY MO NV WI CA NY OK TN NY TN CO FL MI Type Dealer ISO ISO Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer ISO Dealer Dealer Dealer Broker Dealer Dealer Dealer ISO Exporter Dealer Dealer Dealer Broker Dealer Dealer ISO Specialty Operating Room Cardiology CT Scanner, X-ray Tube, PET/CT Anesthesia Monitor, Anesthesia Machine, O/R Microscope Laser - Co2, Laser - Yag, Liposuction Unit MRI Scanner, MRI Mobile, MRI Coil CT Scanner, Cath Lab, Angio Lab Ultrasound EKG, ECG unit, Ultrasound General Bone Densitometer, MRI Scanner, CT Scanner Ultrasound Transducer, Shared Service, OB / GYN - Vascular MRI Scanner, MRI Coil, PET Camera / Scanner Rad Room, Rad/Fluoro Room, Rad/Tomo Room Ventilator, Oxygen Monitor, Stress Test CT Scanner, MRI Scanner, C-Arm Imaging/Radiology Pump IV Infusion, Pump PCA, Pump Controller Exam Room Suite, EKG, Defibrillator CT Mobile, MRI Mobile, PET Mobile Ultrasound Transducer, Shared Service, OB / GYN - Vascular Oximeter - Pulse, Scope Accessories, Fetal Monitor Ultrasound Transducer, Cardiac, Cardiac - Vascular CT Scanner, Rad/Fluoro Room, Rad Room Autoclave Tabletop, Sterilizer, Dry Heat Sterilizer X-ray Generator, Rad/Fluoro Room, Rad/Tomo Room Ultrasound Transducer, Ultrasound General, Vascular - Small Parts C-Arm, MRI Scanner, Mammo Unit Imaging/Radiology
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Company KPI Ultrasound MedSurg Equipment, LLC. Anamika Medical Biomedix Medical Choice Medical Systems Inc Classic Diagnostic Imaging Gale Medical, LLC Townsend Surgical Associated Imaging Services Grand Medical Equipment, Inc. Radiology Equipment Sales & Service, LLC Radon Medical Imaging Corp.- WV
State CA TX NY PA FL OH GA TN KS PA TX WV
Type Dealer ISO Dealer ISO Dealer Other Dealer ISO ISO Dealer ISO ISO Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer Dealer ISO Dealer Dealer ISO Dealer Other Dealer Dealer Exporter Dealer ISO Dealer
Specialty Cardiac - Vascular, Ultrasound Transducer, OB / GYN - Vascular Defibrillator, EKG, Electrosurgical Unit CR Pump IV Infusion, Pump PCA, Pump Lymphedema Ultrasound C-Arm, Chest X-ray, Mammo Unit Ultrasound Endoscope, Cystoscope, Light Source Molecular Imaging Mammo Unit, Mammo Accessories Nuclear Gamma Camera, Nuclear Computer, CT Scanner Radiology CT Scanner, MRI Scanner, Rad Room Pump IV Infusion, Pump PCA Miscellaneous MRI Scanner C-Arm, Oxygen Analyzer, Defibrillator CT Scanner, X-ray Tube, Rad/Fluoro Room Respiratory Ultrasound Ultrasound MRI Coldhead, MRI Compressor, Magnet MRI Scanner, CT Scanner, Shared Service Imaging/Radiology MRI Scanner, MRI Mobile, CT Scanner C-Arm, C-Arm Table, X-ray Image Intensifier Light Source, Exam Light, Defibrillator Modular Building MRI, MRI Mobile, MRI Scanner X-ray/Radiology Imaging/Radiology Cosmetic/Surgical Lasers CT/Mri Ultrasound Transducer, OB / GYN, Vascular - Small Parts
International Medical Equipment and Service, Inc. SC IV Technologies, Inc. Medical Technic,LLC Pan Am Imaging Soma Technology Technical Prospects LLC Advantage Medical Systems Better Imaging Solutions, Inc. MedPro, Inc. Oxford Instruments Service Radiology OneSource, Inc. ReMedPar Southwest Medical Resources Transamerican Medical Imaging Alpha Source Inc. Calscan Medical Enterprises, Inc. GERMAN ELECTRONICS HealthCare Imaging, LLC LaserTeks Services Inc. Ultimate Imaging Solutions Dietz Healthcare, Inc. PA NJ NJ CT WI MO AZ NJ NJ TN TN CA UT WI CA FL NC TX TX AZ
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Top Medical Equipment OEMs

The following list was created based sales figures. The list provides some key numbers for publically traded medical equipment manufacturers. In some cases, larger companies producing products outside of the health care field dont have separate income reported for different industry sectors, so the numbers presented may indicate one company with a smaller health care division as being more robust than a company with larger health care related sales. When possible, the information utilized company health care sales. Some privately held companies may bring in more than some businesses represented on this list, but the following information is based on sales as reported through stock ticker feedback.
Company Name General Electric Company Hewlett Packard Company McKesson Corporation Hitachi, Ltd. Cardinal Health, Inc. Panasonic Corporation Siemens AG SONY Corporation Toshiba Corporation Johnson & Johnson Bayer AG Canon Inc. Abbott Laboratories Koninklijke Philips Electronics N.V. 3M Company FujiFilm Holdings Corporation Fresenius SE & Co KGaA Medtronic Inc Baxter International, Inc. Covidien Public Limited Company Konica Minolta Minolta Holdings, Inc. Owens & Minor, Inc Henry Schein, Inc. Stryker Corporation Becton, Dickinson and Company Boston Scientific Corporation St. Jude Medical, Inc. Teruma Corp. Zimmer Holdings, Inc. Smith & Nephew plc Agfa-Gevaert NV Hospira, Inc. CareFusion Corporation C. R. Bard, Inc. Varian Medical Systems, Inc. Hologic Inc Invacare Corporation Intuitive Surgical, Inc. Stock Ticker GE HPQ MCK HIT CAH PC SI SNE TOSBF JNJ BAYZF CAJ ABT PHG MMM FUJIY FSNUF MDT BAX COV KNCAF OMI HSIC SYK BDX BSX STJ TRUMF ZMH SNN AFGVF HSP CFN BCR VAR HOLX IVC ISRG Employees 301,000 349,600 36,400 372,360 31,900 348,028 363,000 168,200 212,000 117,000 113,200 198,307 91,000 121,888 84,198 78,862 145,118 45,000 48,500 NA 35,204 4,800 15,000 21,241 29,369 24,000 15,000 14,761 8,000 11,000 11,766 15,000 14,000 11,700 5,700 5,019 6,300 1,924 Sales last 12 months 147.30 Billion 124.98 Billion 119.89 Billion 116.56 Billion 106.70 Billion 99.39 Billion 98.9 Billion 80.38 Billion 75.02 Billion 65..03 Billion 48.88 Billion 44.17 Billion 38.85 Billion 30.25 Billion 29.61 Billion 27.15 Billion 21.84 Billion 16.39 Billion 13.89 Billion 11.7 Billion 9.44 Billion 8.63 Billion 8.53 Billion 8.31 Billion 7.87 Billion 7.62 Billion 5.61 Billion 4.61 Billion 4.45 Billion 4.27 Billion 4.07 Billion 4.06 Billion 3.59 Billion 2.9 Billion 2.64 Billion 1.83 Billion 1.80 Billion 1.76 Billion Sales growth last 12 months -1.50% 1.00% 3.10% 3.90% 4.20% 17.20% 6.60% -0.50% 1.70% 5.60% 12.60% -4.00% 10.50% 1.30% 5.66% 1.60% 12.80% 0.70% 8.20% 11.00% -3.30% 6.20% 13.30% 13.50% 6.20% -2.40% 8.70% 3.90% 5.50% 7.80% 7.00% 3.60% 1.60% 6.50% 10.20% 6.50% 4.60% 24.40% Web Address www.ge.com www.hp.com www.mckesson.com www.hitachi.com www.cardinal.com www.panasonic.net www.siemens.com www.sony.net www.toshiba.co.jp www.jnj.com www.bayer.com www.canon.com www.abbott.com www.philips.co.uk www.3m.com www.fujifilmholdings.com www.fresenius.se www.medtronic.com www.baxter.com www.covidien.com www.konicaminolta.com www.owens-minor.com www.henryschein.com www.stryker.com www.bd.com www.bostonscientific.com www.sjm.com www.terumo.com www.zimmer.com www.smith-nephew.com www.agfa.com www.hospira.com www.carefusion.com www.crbard.com www.varian.com www.hologic.com www.invacare.com www.intuitivesurgical.com/
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Company Name Edwards Lifesciences Corporation Hill-Rom Holdings, Inc. Barco NV STERIS Corporation The Cooper Companies, Inc. Mindray Medical International Limited Carl Zeiss Meditec AG Integra Lifesciences Holdings Corp. CONMED Corporation NuVasive, Inc. Analogic Corporation Masimo Corporation Thoratec Corporation ArthroCare Corporation Volcano Corporation Accuray Incorporated Sonosite, Inc. ICU Medical, Inc. Omnicell, Inc. Merge Healthcare Syneron Medical Ltd. AngioDynamics, Inc. Exactech, Inc. Given Imaging Ltd. Conceptus, Inc. CardioNet, Inc. Atrion Corporation Cynosure Inc. MEDTOX Scientific, Inc. Palomar Medical Technologies, Inc. Vascular Solutions, Inc. HeartWare International, Inc. Synovis Life Technologies, Inc. Prism Medical, Ltd. MAKO Surgical Corp IMRIS Inc. Zoll Medical Corporation DGT Holdings Corp. Digirad Corporation Fonar Corporation iCAD, Inc. Vasomedical, Inc. Bovie Medical Corporation Positron Corporation GenMark Diagnostics, Inc. Vasamed, Inc.
Stock Ticker EW HRC BCNAF STE COO MR DE:AFX IART CNMD NUVA ALOG MASI THOR ARTC VOLC Aray SONO ICUI OMCL MRGE ELOS ANGO EXAC GIVN CPTS BEAT ATRI CYNO MTOX PMTI VASC HTWR SYNO PSDLF MAKO IMRS ZOLL DGTC DRAD FONR ICAD VASO BVX POSC GNMK VSMD
Employees 7,000 6,230 3,500 5,000 7,400 6,700 2,430 3,000 3,300 789 1,500 2,548 773 1,600 1,144 1,100 878 2,216 753 750 580 722 553 742 304 754 437 259 633 213 355 206 NA 5 315 139 1,908 212 261 214 143 109 143 27 79 31
Sales last 12 months 1.68 Billion 1.60 Billion 1.40 Billion 1.39 Billion 1.33 Billion 827.59 Million 783.89 Million 780.08 Million 725.08 Million 540.51 Million 487.63 Million 438.99 Million 422.71 Million 354.89 Million 343.55 Million 336.84 Million 308.82 Million 302.20 Million 245.54 Million 232.43 Million 228.32 Million 223.40 Million 204.12 Million 177.96 Million 126.98 Million 119.02 Million 117.10 Million 110.6 Million 108.15 Million 103.44 Million 89.96 Million 82.76 Million 82.36 Million 72.67 Million 66.40 Million 62.25 Million 544.3 Million 54.97 Million 53.75 Million 35.37 Million 28.41 Million 25.58 Million 25.48 Million 8.58 Million 3.82 Million 3.43 Million
Sales growth last 12 months 16.00% 8.30% 16.10% -4.00% 14.90% 11.10% 12.10% 6.60% 1.60% 13.00% 14.20% 8.30% 10.40% -10.00% 16.80% 0.30% 21.10% 6.20% 10.40% 65.60% 20.50% -10.00% 7.40% 12.80% -9.70% -0.80% 8.40% 35.30% 11.40% 62.30% 14.70% 50.00% 20.10% 1.40% 29.50% 78.10% 18.00% 20.90% -4.30% 4.20% -12.60% 289.30% -10.10% 219.70% 156.60% 0.30%
Web Address www.edwards.com www.hill-rom.com www.barco.com www.steris.com www.coopercos.com www.mindray.com www.meditec.zeiss.com www.Integra-LS.com www.conmed.com www.nuvasive.com www.analogic.com www.masimo.com www.thoratec.com www.arthrocare.com www.volcanocorp.com www.accuray.com www.sonosite.com www.icumed.com www.omnicell.com www.merge.com www.international.syneron.com www.angiodynamics.com www.exac.com www.givenimaging.com www.conceptus.com www.cardionet.com www.atrioncorp.com www.cynosure.com www.medtox.com www.palomarmedical.com www.vascularsolutions.com www.heartware.com www.synovissurgical.com www.prismmedicalltd.com www.makosurgical.com www.imris.com www.zoll.com www.delglobal.com www.digirad.com www.fonar.com www.icadmed.com www.vasomedical.com www.boviemedical.com www.positron.com www.genmarkdx.com www.opsi.com
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Buy-Sell-Rent-Repair
PRN, Inc
218 Shove St Fall River, MA 02724 508-679-6185
DOTmed 100
Resource Section
All the companies in this special section are part of the DOTmed 100 for 2012.
The information presented will help you to get acquainted with the services and products offered by some of the companies in this elite group. If you already do business with them, be sure to share your experience with DOTmed users by rating your experience. If you plan to do business with them in the future, be sure to tell them DOTmed sent you!
www.prnwebsite.com * email: dmsales@prnwebsite.com
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We BUY/SELL all used Endoscopy equipment

Huge inventory of equipment Most equipment in Stock, not brokering equipment. Visit us www.intmedicaleq.com Full Endoscope repair services Fast repair turn around
THINK PHILIPS. THINK QUEST MEDICAL SUPPLY.

Sales, Installation, Service, Applications Training and Parts Call Now! We Take Trade-Ins
DoctorS Depot
Sales and Service of: Anesthesia Machines Anesthesia Vaporizers Patient Monitors ECG Anesthesia Monitors
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800-449-7077 407-389-1311
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International Medical Equipment Inc. Phone: 734-422-7700 email: info@intmedicaleq.com
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Quest Medical Supply, Inc. 600 Sweetwater Club Circle Longwood, FL 32779-2133 www.aismedical.com Ph: (407) 389-1311, Fx: (407) 389-1692
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Contact: 800-979-4993
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Track record of helping our customers find the part they want at the price they need Real-time inventory searching on our website The only parts we offer are parts we own and stock on-site
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714 Atkins Ave Brooklyn, NY 11208 347-985-1679 www.adamimagingparts.com

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The Leader in Professional Pre-Owned Imaging Equipment Sales
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23
consecutive years of experience IntegrIty MedIcal SySteMS, Inc.
8
consecutive years in the DOTmed 100
WE GUARANTEE OUR SERVICE OUR TEAM WORKS WITH YOU AND FOR YOU. WE PROVIDE YOU WITH THE BEST PRICES
ExpEriEncE MakEs thE DiffErEncE
MRI CT PET/CT Ultrasound X-ray/CR Nuclear Cameras Mammo Laser Printers C-arms
WE SPECIALIZE IN THE SLEEP WORLD OF POLYSOMNOGRAPHY AND HOME SLEEP STUDY PSG,CPAP,BIPAP ETC, BUT WE ALSO SELL HOMEHEALTH PRODUCTS. WE SERVICE YOU ON SHIPPING AND HANDLING, OUR TEAMS ALSO WORK CLOSELY WITH CUSTOMS. Lilly Echazabal VP/NCCI/PSGTDEALER/EXPORTING
Total Health Medical Equipments and Supply., Inc. Miami, FL 33165 http://www.dotmed.com/webstore/137241/ 786-600-8442
13831 Jetport Commerce Parkway Fort Myers, FL 33913 info@integritymed.com phone: (239) 454-9555 phone: (800) 722-3646 fax: (239) 454-9599 integritymed.com
www.nationwideimaging.com Sales: 732-262-3115 sales@nationwideimaging.com
flexible endoscope repairs and sales
In business for 15 years DOTmed certified; DOTmed 100 systems, and discover the ANDA Medical difference. Offering the highest quality of used medical equipment available in todays marketplace. Buy quality pre-owned medical equipment at a fraction of the cost systems, and discover the ANDA Medical difference. of new equipment. We buy and sell used and surplus systems, and discover the ANDA Medical difference. medical equipment from hospitals, Medical difference. systems, and discover the ANDA clinics, and surgery centers.
systems, and discover the ANDAANDA Medical difference. systems, and discover the Medical difference.
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615-515-7190 arrington@pilotmedical.net Dealers Welcome
Whether youre buying or selling call or email BMX Medical, Inc. 888-553-2300 jdb@bmxmed.com
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BMX Medical, Inc. 1301 Cambridge St . #111A Minneapolis, MN 55343

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One Source for All Your Medical Equipment Needs

Rigid endoscopy at the best prices Urology/ Ob-Gyn Video systems Arthroscopy Laparoscopy Contact information: SH Medical Corp. www.shmedical.com 305-406-2222
Drs Toy Store

Over 35 Yrs. experience One of the largest showrooms of refurbished and new equipment in the U.S. We Buy, Trade, Repair, & Export!
Ask for Joe 954-457-0075 www.drstoystore.com joe@drstoystore.com
Specialists in Endoscopy Products

Repairs We specialize in repairs of Flexible fiber and video endoscopes, including Olympus, Pentax and Fujinon, that meet or exceed manufacturers specifications without paying manufacturer pricing. Danan Medical Systems guarantees honesty, quick turn around and excellent customer service! Danan Medical Systems, Inc. (386) 868-5185 Cell: (386) 383-2593 www.dananmed.com Email: dananmed@aol.com
Excellence in Endoscopy!
Large Inventory of Endoscopes
We Pay Top Dollar for Your Excess Inventory of Scopes!
Olympus Pentax Fujinon Storz Stryker

Pro Scope Systems 6831 Ashfield Drive Cincinnati, OH 45242 (513) 469-7267 Toll Free: (877) 481-SCOPE (7267) www.proscopesystems.com sales@proscopesystems.com
Pro Scope 9th Page Ad.indd 1
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Specializing in I.V. Infusion Technology Sales, service, Rentals We support what the manufacturers do not anymore Service, parts, and accessories Baxter AS50, Infus OR, Medfusion 2000 series, Alaris Medsystem IIIs
We also buy and sell all types of Medical equipment Devices
Jason Ragazzo, sales manager Biomedix Medical 1153 Newark Rd, PO box 324 Toughkenamon, PA 19374 USA Phone: (610) 656-5851 Email: jason@biomedixmedical.com
Sales * Rentals * Leases * Trade-ins
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and services; and if you choose to do business with any of them now or in the future, you can be assured of a quality buying experience.
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GEs digital Aisys Carestation integrating information at clinicians workplace.
Information management systems sales fuel market

By Diana Bradley
nesthesia is now safer than ever. Over the past 25 years, anesthesia-related mortality rates have dramatically decreased from one death per 5,000 anesthetics administered, to one death per 200,000-300,000 anesthetics administered, according to the American Society of Anesthesiologists. In laymans terms: a person is 40 times more likely to be struck by lightning than they are to die from anesthesia. Despite these improvements, as many as one in four patients postpone surgery due to lack of understanding and apprehension about anesthesia, according to the ASAs Vital Health Report from 2010. And on its website, the National Institute of General Medical Sciences says that for elderly patients and those with certain chronic, systemic diseases like diabetes, general anesthetics are still among the most dangerous drugs used by doctors.
To counteract this, in October, the Anesthesia Quality Institute pioneered the Anesthesia Incident Reporting System, the first nationwide system that collects data including anesthesia-related issues from real, individual cases. As a means of improving patient safety, AQI aims to use this data to educate those in the industry and identify emerging trends in anesthesia patient safety, including the introduction of new drugs or devices.
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Anesthesias device market: Companies battle for market share
Between 2009 and 2010, the value of the U.S. anesthesia, respiratory and sleep-management device market increased 3.7 percent to more than $2.5 billion. Fueled by anesthesia information management system sales, the overall market is estimated to grow at a midlevel, single-digit rate, reaching $4 billion by 2017, according to iData Researchs May report, U.S. Market for Anesthesia, Respiratory and Sleep Management Devices. But emptier wallets are driving providers to demand more cost-effective products. An increasing number of sicker patients are being admitted to the hospital, placing a greater strain on health care resources, according to Kelly Barritt, senior market analyst in clinical care for research group InMedica. Following from the economic recession, clinicians are starting to make more informed purchasing decisions to ensure they get the best return on investment; demand for anesthesia devices is expected to decrease as a consequence, she explains. The anesthesia delivery unit market, in particular, is also getting more competitive. Picis, GE Healthcare, Draeger, IMDsoft, Merge and Philips are now releasing lowcost, low-acuity models to compete with Mindray Medical International Ltd., MAQUET and Penlon and other firms that have recently entered the market. Unit sales are forecasted to increase through 2017 as a result of these lower cost devices coming out, adds iDatas report. Across the industry and on a promotional level, OEMs are knocking down prices to levels never before seen, notes Ashish Dhammam, regional sales director, for refurb company Soma Technology. But buying secondhand still remains a much cheaper option. In general, if you were to buy a new piece of equipment from us, you would save up to 60 percent Im talking list price savings, he says. Barritt notes that beyond cost, the big focus for most anesthesia device manufacturers is getting a complete solution in place for hospitals. Products that provide a total solution for anesthesia care, including integrated decision support, intelligent alarms, and enhanced monitoring and visualization systems are in most demand, she explains.
be attributed to U.S. legislation that requires hospitals to automate data collection in their anesthesia departments by 2015 as part of the implementation of electronic medical records, according to iDatas report. AIMS are thought to help decrease malpractice claims by streamlining workflow. Yet, in a report last April, market research group KLAS found more optimism than actual adoption in the AIMS market. Between 2007 and 2010, the number of surgery departments using AIMS increased from 6 percent to 26 percent, with 63 percent of hospitals using only surgery systems stating they plan on purchasing an AIMS. Vendors claiming the largest share of the AIMs market include Cerner, Draeger, GE, Philips and Picis, according to KLAS report. Hospitals using AIMS designed for the perioperative market realized big savings. The average hospital saved $584,000 a year using such systems, and the hospitals three-year investment of $1.3 million generated a positive ROI in 8 months, according to a 2008 white paper by financial research firm Hobson & Co. For the anesthesia sector in particular, meaningful use requirements highlight the need for improved connectivity between the various devices in the patient care environment, including those in the OR, according to Risto Rossi, global anesthesia segment leader, premium life care solu-
AIMS: Whats driving the driver
Anesthesia information management systems, or AIMS, is the big talk in the sector today. The systems, which track vital information about anesthesia being delivered during surgery, are being increasingly recognized as a vital link in patient care. They will help us by harnessing the computational power to better control care we deliver during surgery, much as advanced avionics systems make complex and safer aircraft possible, says ASA president, Dr. Jerry Cohen. This year, the AIMS market is predicted to skyrocket, growing by more than 50 percent. The growth can largely
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tions, for GE Healthcares Helsinki branch. In the next five years, as sophisticated AIMS and EMR technology drives the market, equipment must keep up, as well as offer cost saving advantages and time efficiency. Devices such as MAQUET Medical System USAs Flow-i Anesthesia Delivery System which received FDA 510(k) clearance in June of 2011 and is the newest anesthesia system on the market are designed with this in mind, including a communication port for remote diagnostic and repair services. Nancy Werfel, MAQUETs marketing manager for anesthesia, notes that Flow-is comprehensive service, availability of parts and reduced downtime are important components.
Low-flow anesthesia: Another cost-effective route
Back in 1996, a European Journal of Anesthesiology paper noted that the reduction in fresh gas flow offered opportunities for significant cost savings and reduced workplace environmental impacts. Rossi notes that this observation is probably even timelier right now as providers are constantly tasked to provide high quality care while simultaneously lowering costs.
PULSE
ANESTHESIA
Domestic & International
GE . Datex-Ohmeda
Aestiva/5 Aestiva Compact Avance Carestation Aespire ADU Carestation Aisys Carestation Excel 210SE Excel 210
Drager
Fabius GS Narkomed GS Narkomed 2B, 2C, 4 Fabius Tiro Apollo
MAQUETs FLOW-i Anesthesia Delivery System is the newest anesthesia system on the market.
Anesthesia Monitors, Surgical Lights & Tables, Anesthesia Storage & Accessories Also Available
Competitive Pricing
+1 513 234 7829 info@pulseconsultants.com www.pulseconsultants.com
We in GE Healthcare have definitely seen an increased awareness among anesthesiologists for low-flow anesthesia, Rossi says. Globally, we have seen our customers responding positively to our low-flow enabled anesthesia systems and Advanced Breathing System platform productsAisys, Avance and AespireView. Although low-flow anesthesia is currently used more frequently in Europe, more and more U.S. clinicians are administering flows close to 2L and below, according to Werfel. Products like the Flow-I system have the capability to support low-flow anesthesia with settings as low as 0.3L. I think that there are definite advantages to low-flow anesthesia, such as less pollution, less patient heat loss, and fewer anesthetics used, says Dr. Ashley Ryan, an anesthesiologist at Oconee Regional Medical Center in Milledgeville, Ga. Low-flow gasses are especially useful because they release less exhaled volatile anesthetic into the atmosphere, which reduces the environmental imprint anesthesiologists make as they care for their surgical patients.
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In addition, low flow uses less anesthetic, thereby saving cost without compromising safety, Cohen says.
On the used market side, some dealers are reporting that buyers now want newer models. Historically, 10- to 20-year-old Ohmeda Excel 110 Anesthesia Machines and Draeger Narkomed 2A and 2B anesthesia systems were in demand, according to Dhammam, a dealer. But today,
In demand: Products, features and new technologies everyones talking about
Ryan, who uses MAQUETs Servoi ICU ventilator, the companys Kion-i anesthesia machine and the new Flow-i anesthesia machine, notes that the biggest trends include regional anesthesia, as well as implementing transthoracic echocardiography into the practice of the general anesthesiologist, video laryngoscopy, and continuous CO2 monitoring for all patients, including sedation cases. He believes that the market has a lot of room for improvement. I think that the market for anesthesia where we will potentially see
Although low-flow anesthesia is currently used more frequently in Europe, more and more U.S. clinicians are administering flows close to 2L and below, according to Werfel.
GEs Aestiva/5 and Aespire systems, and Draegers Fabius products, are probably the most popular anesthesia machines in the U.S., he adds. I attribute that to obsoletion of equipment, says Dhammam. Many hospitals switch to a different product every time a manufacturer decides to stop supporting equipment with parts, even if their equipment still has a lot of life left in it. Aside from reassurance that the technology they purchase will not become prematurely obsolete, hospitals prefer equipment that is compatible with other vital equipment and electronic medical records. Because of this trend, new equipment offers regular software updates and enhanced features via USB. In addition, the patient populations continuous trend towards sicker, older, younger or more morbidly obese patients undergoing surgical procedures is also having an effect on the anesthesia market. There is a greater need for advanced ventilation capabilities to support the ventilatory challenges of these patients, Werfel says. quite a bit of advancement will be in the improvement and implementation of noninvasive cardiac output measurements as well as the continued development in the electronic charting programs for anesthesia providers, Ryan says. Ryan also believes China may flex its manufacturing muscle, flooding the market with products that may be average to below average anesthesia machines and other products, but [nonetheless] appealing because of the difference in cost. The global anesthesia market will continue growing and demanding new solutions to address issues such as cost pressures, care quality focus and affordable, accessible solutions, according to Rossi. It seems that the anesthesia market will see faster growth in the developing world as buying power increases, he says. Developed markets will focus on ensuring that information in their systems is put to good use, by continuing to link devices to each other and the electronic medical record.
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DOTmed Registered Anesthesia Sales & Service Companies

Company - Domestic enBio, Corp. Universal Vaporizer Support Ready Medical SOMA Technology Mercury Medical Doctors Depot, Inc. Quest Medical Supply, Inc. SE Medical Systems Alternative Source Medical Keeboshop Heartland Medical Saffire Medical PRN Medical Service Solutions, LLC Paragon Service MAQUET Medical Systems USA Integris Equipment Pulse Consultants Company - International dododo medical equipment AGITO Medical J Morillo Sistemas Biomedicos Contact Name Arthur Zenian Tim Sullivan Lisa Vanesco Rafael Bolivar James Ruggerio Aaron Frye Clinton Courson Dave Wayne Monte Montain Stojan Bozinovski Brad Rumph Alda Clemmey Bob Gaw Jacqueline Michaud Thomas Green Sam Joshi Lawrence Maroney Julie Gutterman Contact Name Welshen Gao Patrick Chapus Jose Morillo City Burbank Foster City Paramount Bloomfield Clearwater Jupiter Longwood Stockbridge Buffalo Grove Chicago Louisville Taunton Fall River Waldorf Saline Wayne Elma Mason City Guangdong Strasbourg Cabimas State CA CA CA CT FL FL FL GA IL IL KY MA MA MD MI NJ NY OH State China France Zulia Certified DM100

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AORN Congress in the Crescent City

he Association of periOperative Registered Nurses Newark, N.J., Mayor Cory Booker, who will deliver a formerly known as the Association of Operating Room speech titled, How to Change the World with Your Bare Nursesheld its first yearly national conference in Hands. Other speakers will include Cheryl Dellasega New York in 1954. Based in Denver, Colo., the non-profit (Spite in White: Do Nurses Really Eat Their Young (And organization s membership currently boasts approximately Other Folks They Dont Like)?); Bob and Lee Woodruff 40,000 registered nurses. (Surviving Together: A Personal Journey); Michael R. AORN will be hosting its upcoming Annual ConBleich (Every Nurses Commitment: What the IOM Future gressthe continents largest surgical products tradeof Nursing Report Needs from You); and Walter Bond showfrom March 24-29 in New (No One Can Stop You But You!). Orleans, La. The event, which spans During the event there will be six days with the first two days several awards presented, including considered Pre-Congress, will allow Outstanding Achievement awards in the attendees the opportunity to connect areas of Perioperative Clinical Nurswith thousands of perioperative proing Practice, Mentorship, Public Policy fessionals while visiting over 100 Advocacy, State Council Leadership, education sessions and sharpening and Volunteerism. AORN Fast Facts their career-building abilities. Headquarters: Denver, Colorado More than 5,200 professionals Exhibitions and from over 2,200 different facilities education sessions Previously known as: Association of attended last years show, which Over the course of three days, the Operating Room Nurses housed 515 exhibiting companies Congress will be hosting more than a Vision: AORN will be the indispensable in Philadelphia, Pa. This year, the dozen hours worth of exhibition time, resource for evidence-based practice association expects an even bigger during which visitors can learn about and education that establishes the turnout in the Big Easy during its new products, services and career standards of excellence in the delivery of 59th annual gathering. development opportunities. perioperative nursing care. Also at this years show, attendees Based on early bird registraFirst Annual Congress: 1954 will be able to choose from 12 education, we anticipate 6000 professiontion tracks: Ambulatory, Clinical, als representing an equal increase Professional attendees in 2011: 5,235 Educator, Ethics/Legal, Evidencein facilities, Gayle Davis, AORNs Anticipated attendees in 2012: 6,000 Based/Research, Infection Control/ corporate communications manager Infection Prevention, Informatics, wrote to DOTmed News in an email. International, Leadership/Management, Professional New Orleans is always popular for Congress and its a Development/Issues, Quality, and Sterile Processing. Hot good location for those people who want to drive into the topic sessions will touch upon issues such as extreme posicity to attend the conference for just a day or two. tioning for MIS, OR environmental hygiene and validating Each year, the theme is selected by the associations competencies for perioperative nursing. presidenta title currently held by Anne Marie Herlehy, New technologies continue to influence how we run who will be replaced by Deborah Spratt at the end of the the event and how we present our education sessions, said event. Herlehys theme for this year is, We Care. Influence Davis. The attendees can document their earned CE credits Safe Perioperative Practice. while theyre still at the conference, exhibitors can track For the perioperative nurse, [AORNs Congress is] an their leads electronically, and we have rooms where attendopportunity to learn the most up-to-the-minute, evidenceees can watch multiple sessions, live, on large screens. based information on safe surgical practices from wellknown speakers, said Davis. The week gives them time and opportunities to talk to their peers about challenges, Virtual Congress share experiences, and explore or challenge old and new Similar to the annual conferences hosted by RSNA and ideas. Nurses come in from across the country and some HIMSS, the 2012 AORN Congress will be offering virtual from around the world. They come from large and small features such as live and on-demand sessions, a networkfacilities, a wide variety of geographic settings and every ing lounge and a virtual exhibit floor. different specialty area. They use this time to build their After the conference, the virtual Congress will offer knowledge and skills from sessions and networking. ten recorded, edited, online education sessions with CE credits that can be accessed anytime from the AORN website, said Davis. Scheduled speakers and awards The opening keynote speaker of the Congress will be Online: dotmed.com/dm18211
By Joanna Padovano
DOTmedbusiness news
I march 2012
63
MEDICAL MUSEUM
Wales Endoscope
The picture and description appear courtesy of Dr. M. Donald Blaufox, M.D., Ph.D, from his website: www.mohma.org.
ach month we visit Dr. Blaufoxs Museum of Historical Medical Artifacts to take a look back at the medical equipment that cleared the way for what patients encounter in the doctor offices and operating rooms of today. Some equipment may be recognizable, while other inventions featured here have since become obsolete or have had their usefulness discredited.
Category: Urology Estimated Date: 1868 Name: Wales Endoscope Manufacturer: Horatio G. Kern Description: 12 x 6x 2 wooden box with leather cover embossed Wales Endoscope. Contains red velvet lining with four 9 tubes of varied diameter, one with right angle and 1
extension, as well as obturators. There is a 3.5 mirror on a brass stand with an attachment for a lens and a clamp to go on the end of the urethroscope. Two lenses are missing. There is a knife and possible caustic holder. Tiemann in the catalog listed as a reference illustrates the Otis endoscopic tube. One of the tubes in the Wales outfit is virtually identical.
I march 2012 MARCH 2012
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THIS MONTH IN MEDIcAL HISTORY
Coca-Koller and the discovery of local anesthesia

By Diana Bradley
his month marks 68 years since the death of Dr. Carl Koller. A mere suggestion from colleague Sigmund Freud would lead Koller to discover that cocaine could numb the prickly problems associated with eye surgery. Green with envy at Kollers quick success, Freud crowned the surgeon with the unfortunate nickname Coca-Koller. Although it is now extremely rare for cocaine to be utilized as an anesthetic, due to its addictive qualities and damaging effects on the cornea, Koller is still considered the founder of local anesthesia in ophthalmology. Picturing 19th century surgery is enough to make anyones eyes water. But those doomed to undergo cataract surgery were particularly out-of-luck. 40 years prior to Kollers discovery, ether and chloroform had been introduced as a general anesthetic. But even with these agents, eye surgery was akin to getting a red-hot needle in your eye for 45 minutes. To top this off, patients usually had to be fully conscious and responsive during this traumatic ordeal. To make the procedure more challenging, this method was known to induce severe vomiting in patients. All in all, not the most efficient means for conducting delicate eye surgery, which was why Kollers discovery was all the more important. The Czech-born Koller was a 26-year-old intern and house surgeon at the Allgemeine Krankenhaus (or General Hospital) in Vienna. This is where he began his experiments with cocaine as a local anesthetic in eye surgery, moving from a frog to a rabbit to a dog. Kollers colleague, Dr. Joseph Gaertner, describes the historic moment he witnessed a frogs eye being touched with a needle after a drop of the cocaine solution had been administered. The frog permitted his cornea to be touched and even injured without a trace of reflex action or attempt to protect himself whereas the other eye responded with the usual reflex action to the slightest touch, he explained. After this, Koller took his experiments to the next level and began testing his newfound local anesthetic on humans in particular, his colleagues. The scientists trickled the cocaine solution into their eyes and then touched pins to their corneas, making dents without the slightest feeling or reflex. And with that, the discovery of local anesthesia was completed, according to Gaertner.
News of Kollers experiments spread worldwide. Other surgeons soon began testing cocaine as a local anesthetic. Koller prepared a formal address on cocaine for the international Ophthalmological Congress, held in Sept. 1884 in Germany. However, with the travel expense too steep for the poor surgeon, a 49-year-old ophthalmologist, Dr. Josef Brettauer, was chosen as a surrogate to present Kollers findings at the meeting. As part of his presentation, Brettauer demonstrated the effect of the cocaine solution on a canines eye. Kollers discovery was verified when, after touching the dogs eye with a forceps, no whimpering, barking or even flinching occurred. The only sound that followed was the audience roaring with applause. But Kollers dream to obtain an academic career in Vienna, with a position in the hospitals eye department, was never realized. In 1885, after being called an impudent Jew by colleague Fritz Zinner, Koller responded with a face-slapping. This led to an illegal duel with sabers, which left Zinner with two deep cuts, while Koller walked away unharmed. Forced to emigrate, New York eventually became Kollers new home in 1888, where he set up a successful practice as an ophthalmologist. Four years later, he discovered the use of subconjunctival cocaine in eye surgery, refining his technique particularly in the areas of cataract surgery and procedures involving the iris. In his lifetime, Koller received a number of distinctions. He was nominated several times for the Nobel Prize in Physiology and Medicine. In 1922, Koller became the first ophthalmologist to receive the American Ophthalmological Societys Lucien Howe Medal. It was even speculated in Derek Vails biography of Howe that the award might have been established specifically to honor Kollers work. Further to this, the Austrian Academy of Cosmetic Surgery initiated the Karl Koller Award to be presented for outstanding contributions in the field of local anesthesia. Because of Kollers work, pharmaceutical companies thrived by marketing cocaine and later, safer local anesthetics like Novocain and Xylocaine. Koller died on March 21, 1944 in New York, N.Y. he was 86.
DOTmedbusiness news
I march 2012
65
Featured Auctions on www.DOTmed.com

These are just a sample of the more than 250,000 listings on DOTmed on any given day.
About PRIVATE SALE DOTmed Private Sale Auctions

Yes Anyone can buy equipment posted in a Private Sale Auction. Private Sales are commission-free auctions for healthcare providers. Even though its a Private Sale the bidding is limited to prescreened DOTmed Gold Service Dealers anyone can buy one of these auctions with the help of a friendly Gold Service Dealer. Just visit any Private Sale to learn how. The GSD will bid for you and act as your purchasing agent. This can be a significant benefit because your GSD will handle the deinstallation, crating and shipping. You will also find many standard auctions listed below, and find many more on DOTmed.com.
MRI SCANNERS
Esaote MRI Scanner Auction 24183 DOM: 2005
This is a Private Sale Auction
Sonosite M-Turbo Shared Service Auction 24028 DOM: 2008

PORTABLE X-RAY
OREX PCCR 1417 Portable X-Ray Auction 24156
BioSound MyLab 30 CV Portable Cardiac Vascular Ultrasound Auction 24005

RAD RAD/FLUORO ROOMS

Siemens Multix FD Rad Room Auction 23920 DOM: 2001 Current Bid: $2,000 Den-Tal-EZ E-2000 Dental Chair Auction 22566 Current Bid: $1,000 Tingle Rad Room Auction 24041 DOM: 1995
STERILIZERS AMSCO Century V116 Sterilizer Auction 24195 Current Bid: $1,500 STERIS Amsco Eagle 3017 Sterilizer Auction 23039 DOM: 2004 Current Bid: $1,175
ALL OTHERS
Datex-Ohmeda ADU S/5 Anesthesia Machine Auction 23443 Current Bid: $3,000 Marquette Mac 15 Stress System Stress Test Auction 24111 Starting Bid: $1,500 Surgical Design 742 R2 Phacoemulsifier Auction 24190 Starting Bid: $1,000 Burdick Medic 5 Defibrillator Auction 23753
LINEAR ACCELERATORS
Siemens Mevatron KD2 Linear Accelerator Auction 21875 DOM: 1993 Starting Bid: $5,000
LASERS
Coherent Versa VP Select Laser Holmium Auction 23244 Starting Bid: $3,000
Biomerieux Vitek Microbiology Analyzer Auction 24187

NUCLEAR MOLECULAR IMAGING

Elscint Millenium VG Nuclear Gamma Camera Auction 24015 DOM: 1995 Current Bid: $1,100 GE Millennium MPS SPECT Camera Auction 24150 DOM: 2002
Philips Quad Gyroscan T.5NT MRI Scanner Auction 18808

Johnson & Johnson Vitros 350 Chemistry Analyzer Auction 22943 DOM: 2006
ULTRASOUND
Siemens Antares Shared Service Auction 24164 Current Bid: $1,100 DOM: 2001 Siemens Antares OB/GYN Ultrasound Auction 24163 Current Bid: $1,200 DOM: 2002 Acuson Cypress Cardiac Ultrasound Auction 24153 DOM: 2006 This is a Private Sale Auction
CAMERAS
Kodak Dryview 8100 Dry Camera Auction 20539 DOM: 2001
All auctions were running at time of publication. Enter the Auction number in the search box on www.DOTmed.com.
12345A Search Equipment
Kodak CR 900 Multi-Loader Auction 23896

I march 2012
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OEM Webstores www.DOTmed.com

A unique way to shop and compare a wide range of new products.
DOTmed WebStores are hardworking virtual stores with infinite shelf & showroom space.
There is nothing quite like a DOTmed WebStore for showcasing and selling new products online. Companies can post selected products, or post their entire inventory in a WebStore giving customers a chance to see everything at once. Each listing can be a snapshot of a product with a link back to the OEMs website where the full sell-story resides. Each listing in a WebStore is also listed in the equipment category on DOTmed where it belongs so the OEM is actually getting double exposure.
The WebStore for Biodex
The WebStore for STeriS
Easily sent by email

Its easy to email an entire WebStore to anyone anytime. And every time the owner updates a listing, its updated in the WebStore too so its always up-to-date.
Links to the owners Virtual Trade Show booth

If the OEM has a DOTmed Virtual Trade Show booth which most do the header to their WebStore is the header section of the VTS booth. This gives the customer the opportunity to easily get more information about the company and their sales team.
Visit these leading OEM WebStores today

To see actual WebStores in action, search for these company names in DOTmeds Virtual Trade Show and youll find a link to their WebStore.
Biodex Dunlee GE Healthcare Shimadzu Varian
Both companies have additional listings on multiple pages
DOTmedbusiness news
I march 2012
67
marketplace & classifieds

MEDICAL SALES & SERVICES ad 0708:Layout 1 5/29/2008 3:42 PM
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Marco Systems LLC
8350 NW 66 Street Miami, FL 33166 (786)942-0421 info@dmesc.com www.dmesc.com
PROTON
SERVICES INCORPORATED
776 Jernee Mill Road, Suite 120 Sayreville, NJ 08872 1 800 793-0190 Fax 732 238-1225 www.prosvcs.com info@prosvcs.com We want to thank all our satisfied customers for choosing Proton We install, sell and service all types of whole body diagnostic imaging scanners in New Jersey, New York, Connecticut, Florida, and Eastern Pennsylvania. We now directly repair and asset manage the following modalities: MRI CT X-Ray R&F Bone Densitometry Mammography Ultrasound
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We also service: Chillers, Cameras, Processors, and MRI Coils We correct chronic and intermittent imaging hardware problems, software problems, application problems, and assist with ACR Accreditations.
Your #1 Source for Wholesale Ultrasound Equipment GE Philips Toshiba Siemens Aloka ATL
Phone: 925-303-2363 Mobile: 206-650-8942 Fax: (925) 978-9013 Email: rcmedical2@gmail.com www.rcultrasound.com
DOTmedbusiness news
I march 2012
69
Magnet Services and First Class Replacement Parts for the Cryogenic and MRI Industries
Sumitomo, Leybold, Balzers & APD 24 Hour Response Time Cryogen Sales & Filling PM & Maintenance Agreements Coldheads Compressors Cryocoolers Flex Lines Adsorbers
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Paying Top Dollar For Your Flexible Scopes!
800-759-7768 phone 952-882-9923 fax info@medicalrecovery.com
Since 1979
Inside Pick Up and Delivery Rigging Packaging and Crating Blanket Wrap Logistics Air Ride Trucks Full Value Insurance Import/Export
I march 2012
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F Ambrose Rigging .
Medical Equipment Specialists When your medical equipment needs the utmost care in rigging, removal and installation, F. Ambrose Rigging is your one-stop shop for medical excellence! De-installations Installations Removal of Old Rooms New Deliveries Relocations Cold MRI Storage 44,000 sq. ft Warehouse
www.ambroserigging.com 215-674-9232
Affiliated with Viking Rigging & Logistics, Inc "NATIONWIDE RIGGING AND LOGISTICS SERVICES COMPANY"
ASSOCIATED IMAGING SERVICES

SMV and G.E. Parts Full-Service Contracts Equipment Relocations Camera Sales/Purchases
800.607.2115
www.aismedical.com
ADVERTISER INDEX
ADVERTISER
Altima Diagnostic Imaging Solutions www.altimadis.com Amber Diagnostics www.amberusa.com ANDA Medical www.andamedical.com ASP www.aspjj.com Bemis Health Care www.bemishealthcare.com C&G Technologies, Inc. www.cgtscan.com Complete Medical Services www.completemedicalservices.com Connect Imaging, Inc. www.connectimaging.com Dobbs Medical Sales, Inc. www.dobbsmedicalsales.com Doctors Depot www.doctorsdepot.com Dunlee, Inc. www.dunlee.com ETS-Lindgren www.ets-lindgren.com
PAGE
10 43 1 44 26 45 41 11 31 61 Inside front cover 13
ADVERTISER
HCP www.hlthcp.com IDN www.idnsummit.com Image Technology Consulting, LLC www.imagetechnology.net International Medical Equipment, Inc. www.intmedicaleq.com Lighthouse Imaging Corp. www.lighthouseoptics.com MAQUET www.maquetusa.com Medical Imaging Resources, Inc. www.medimagingsales.com Medicall www.medicall.in MedStar Equipment MTM Medical
PAGE
7 46 21, 59 36 33 23 62 4 34 32
ADVERTISER
Oxford Instruments www.oxford-instruments.com/mri PulseConsultants www.pulseconsultants.com Physicians Resource Network, Inc. www.prnwebsite.com Quest Medical Supply, Inc. www.questmedicalsupply.com SH Medical Corporation STERIS www.steris.com Stryker Sustainability Solutions sustainability.stryker.com Sunnex, Inc. www.sunnexmedical.com Unfors Instruments, Inc. www.unfors.com Varian Medical Systems, Inc. www.varian.com/interay Viable Med Services, Inc. www.viablemed.net Ziehm Imaging www.ziehm.com DOTmed 100 Resource Section
PAGE
14 60 24 25 35 29 42 27 12 Back cover 28 22 54
Nationwide Imaging Services, Inc. www.nationwideimaging.com Inside back cover Numed www.numedinc.com Owen Kane Holdings, Inc. www.owenkane.com 15 68
DOTmedbusiness news
I march 2012
71
BLUE BOOK PRIcE GUIDE
Recent equipment and parts auctions on DOTmed with actual sale prices.
IMAGING
ATL Shared Service HDI 5000 OHMEDA Anesthesia Machine Plus II
NEUROLOGY
NEURAL-SCAN Other Neural Scan
Auction #19273 sold for a hospital in N.Y., $6,200.

AMSCO O/R OB Table 2080
Auction #18463 sold for an exporter in Japan, $2,750.

GE CT Scanner 2003 GE HS QXI H2 + Performix Tube with 5.3 MHU
Auction #19000 sold for a clinic in Tenn., $15,000.
Auction #18858 sold for a hospital in N.J., $2,700.

VALLEY LAB Electrosurgical Unit Force 1C
LABORATORY
MICROM Microtome HM 315
Auction #19198 sold for a broker in Ill., $75,000.

SUMMIT Rad Room E7242X
Auction #16011 sold for a hospital in NY, $2,000.

GE Mammo Unit Senographe DMR
Auction #18500 sold for a hospital in N.C., $4,200.

UNKNOWN Disposables - General Various
Auction #18341 sold for a medical office in Kan., $4,500.

SIEMENS Nuclear Computer SyngoMIMobile2006A
Auction #10427 sold for an imaging center in Hawaii, $4,500.

HOLOGIC Bone Densitometer 4500C with QDR
Auction #17323 sold for a dealer in Ind., $14,000.

IDEXX Blood Gas Analyzer Vetstat
Auction #8623 sold for an ISO in Ohio, $3,000.

MILLER Empty Trailer 1992 and 1990
Auction #19322 sold for a medical office in Mich., $5,500.

GE CT Scanner 2003 GE HS QXI H2
Auction #17815 sold for a veterinary clinic in S.C., $1,800.

TECAN DNA Related Genesis 200/8
Auction #18650 sold for an ISO in Va., $8,000.

SIEMENS MRI Mobile Impact Magnetom
Auction #19198 sold for a broker in Ill., $75,000.

OEC C-Arm 9600
Auction #17029 sold for a dealer in NY, $1,000.
Auction #15415 sold for a hospital in N.Y., $17,500.
OPTHAMALOGY
Auction #18921 sold for a medical office in Calif., $27,000.
MILLER Empty Trailer 1992 and 1990 ALCON Phacoemulsifier Series 2000
SURGICAL
STERIS O/R Table ASC 2000
Auction #17297 sold for a broker in N.Y., $1,000.
Auction #17594 sold for a charity in Conn., $9,000.

BURTON O/R Light AIM-100
Auction #18650 sold for an ISO in Va., $8,000.

AGFA CR ADC Solo
DENTAL
ZURICH DENTAL Hand Instrument High Speed Dental Handpiece STTorque Mini 100 Units
Auction #19283 sold for a manufacturer in N.J., $3,200.
Auction #17449 sold for a dealer in Texas, $2,200.
Auction #11640 sold for a manufacturer in N.Y., $4,000.
DOTmed Auctions
Want to auction equipment on dotmed.com? Contact an auction specialist. 212.742.1200, ext. 252 or sales@dotmed.com.
FURNITURE
HAUSTED Stretcher 800 Series Unicare I
Auction #17451 sold for a hospital in Ore., $1,000.
I march 2012
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New from Varian...

A replacement for:
Philips MX-8000 and Brilliance CT scanners.

GS-532B / AKRON B: for Philips MX 8000 - Dual(2) and Quad(4)
Metal Ceramic Technology Replaces Philips S532B Dual focal spots: 0.5 x 0.7, 0.8 x 1.2 5.3 mHU Prorated warranty matches OEM 12 months / 150,000 scan seconds
MX-8000
GS-532Q / AKRON Q: for Philips MX 8000 6, 10, or 16, Brilliance 6

Metal Ceramic Technology Replaces Philips S532Q Dual focal spots: 0.5 x 0.7, 0.8 x 1.2 5.3 mHU Prorated warranty matches OEM 12 months / 120,000 scan seconds
USA Contact Information

Varian Interay 1-800-INTERAY TEL 843.767.3005 FAX 843.760.0079 E-mail interay.sales@varian.com For more information contact us or your preferred dealer
Europe Contact Information

Varian X-ray Products Germany TEL 49-2154-924-980 FAX 49-2154-924-994 E-mail sales-xray@varian.com
All trademarked terms are property of the respective manufacturer. Brillance is a registered trademark of Koninklijke Philips Electronics N.V.
www.varian.com/interay

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There's more to our GE tube replacements than 65 years of innovation

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Industry Sector Reports

A hospitals first line of defense against infection

Information management systems sales fuel market

65 This Month in Medical History

coca-Koller and the discovery of local anesthesia

LETTER FROM THE EDITOR

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The Dr. Watson dilemma

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McKesson acquires peerVue

Quality MRI service the cool choice

Quality MRI service the cool choice

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Dubai Pharmeceutical & Technologies Exhibition

MD&M Southern Regional Series

International Vision Expo & Conference East 2012

Arab Lab The Expo

Special Procedures: Cath/Angio

These rooms for improvement are expanding their specialties.

Injectors & Contrast Agents

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IDN Summit Preview

We offer a glimpse at this years gathering.

CORENTEC CO., LTD., Launches CORENTEC AMERICA, INC.

Nvision VLE Imaging System

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