Perfec - Medline Industries · the mattress, allowing for optimal heat delivery efficiency and unparalleled safety. The leading forced-air system only monitors the temperature at

PerfecTemp™

Patient Warming System

2 31-800-MEDLINE | www.medline.com1-800-MEDLINE | www.medline.com

Underbody Warming for All Patients

Medline’s new PerfecTemp OR table pad helps meet

SCIP-Inf-10 by combatting hypothermia and reduces

the risk of pressure ulcers. It is the only warming system

available that monitors the temperature at the point of

contact between the pad and the patient’s skin —

ensuring the patient’s temperature is constantly monitored

and maintained for normothermia.

PerfecTemp’s unique and reusable surgical table pads

offer silent warming from underneath, allowing effective

patient warming — even during C-sections and heart

and spinal procedures.

PerfecTemp Complies with SCIP Measure 10

The Surgical Care Improvement Project (SCIP) is a national quality partnership of

organizations focused on significantly reducing surgical complications. PerfecTemp

helps you comply with SCIP Measure 10, which recommends the use of active warming

intraoperatively to achieve the target temperature of 36°C (96.8 degrees F) within

30 minutes before or 15 minutes after anesthesia end time. The measure applies

to patients of all ages undergoing surgical procedures under general or neuraxial

anesthesia for 60 minutes or more.2

PerfecTemp Warms Quickly to Normothermia with Patient Contact

Warming can begin as soon as the patient is positioned on the OR table.

The device senses temperature through two sensors near the patient’s skin

to continuously monitor and control the heat generation.

• Complies with SCIP Measure 10

• Advanced Technology for Uniform Patient Warming

• Save Time and Money

• Easy to Use

• Avoidance of Pressure Ulcers

PerfecTemp At a Glance

Achieve normothermia, even during these traditionally difficult to warm procedures:

• Open Heart

• C-Section

• Neuro/Spine

• Orthopedic


The Importance of Patient Warming

The risk of unintentional hypothermia

is greater with anesthetized patients.

After inducing general anesthesia,

a patient’s core body temperature

rapidly drops.4

Preventing unintentional

hypothermia helps you avoid

many postoperative complications

and the associated costs:

• SurgiCal-SiTe iNfeCTioNS –

in one study, the incidence of

culture-positive wound infections

was three times higher in

hypothermic patients compared

to normothermic patients5

• CardiaC EVENTS – studies show that hypothermic patients were up to three times

more likely to have ECG events, myocardial ischemia and ventricular tachycardia6

• HiGHEr MorTaliTy raTES – patients with hypothermia were shown to have

significantly higher incidences of organ dysfunction and death7

• BlEEdiNG – at the end of surgery, as well as 3, 12, and 24 hours after surgery8

• EffECTS of druGS uSEd duriNG aNESTHESia – the average duration

of neuromuscular blocking agents and the onset of reversal agents is more

than doubled9

• loNGEr rECoVEry TiME – patients with a temperature of 35°C need up

to 90 minutes longer in the PACU10 than normothermic patients

after inducing anesthesia, a patient’s core body temperature rapidly drops.4

Precipitous drop in

patient temperature

within the first hour of

anesthesia induction

Typical Pattern of Hypothermia during General Anesthesia

UNINTENDED HYPOTHERMIA

ELAPSED TIME

0

-1

-2

-3

0 2 4 6

1 hr

Δ D

RO

P IN

CO

RE

TE

MP

(°C

)

TypiCal paTTErN of HypoTHErMia duriNG GENEral aNESTHESia

Advanced Technology for Uniform Patient Warming PerfecTemp monitors the temperature at the point where the patient’s skin meets

the mattress, allowing for optimal heat delivery efficiency and unparalleled safety.

The leading forced-air system only monitors the temperature at the exit of the blower.

And because the PerfecTemp temperature sensors utilize fiber-optic technology, the

warming pad is X-ray translucent.

PerfecTemp’s fiber optic sensors allow for more precise warming of the patient’s core.

fiBEr-opTiC SENSorS

flExiBlE HEaTiNG ElEMENT MaiNTaiNS NorMoTHErMia

PerfecTemp uses a high-tech heating element to

effectively maintain normothermia in anesthetized

patients to 36°C (96.8°F). Studies show that

PerfecTemp’s conduction heating is just as effective

as forced-air warming systems for maintaining

normothermia.1

By continuously monitoring the temperature at the

interface between the pad and the skin, PerfecTemp

offers more precise control of the patient’s core body

temperature.

SafETy alarM

PerfecTemp also features an alarm system to alert the

OR staff if the temperature becomes too hot. This feature

helps protect against skin burns.

Precipitous drop in patient temperature within the first hour of anesthesia induction


• More precise control of the patient’s core body temperature

• X-ray translucent

• Efficient underbody

warming as effective as

forced-air systems for

preventing unintentional

hypothermia.1

• Silent


Save Time and Money CoST-EffECTiVENESS

PerfecTemp’s pressure redistribution surface aids in the avoidance of

perioperative pressure ulcers. As many as 66 percent of hospital-acquired

pressure ulcers occur in the operating room.11 The Centers for Medicare and

Medicaid Services (CMS) has estimated that a Stage III or IV pressure ulcer

costs an additional $43,180 per hospital stay, and as of October 1, 2008,

CMS no longer reimburses for hospital-acquired pressure ulcers.12

PerfecTemp is the only warming system that helps you reduce

unwanted pressure* and associated costs.3

iNCrEaSEd EffiCiENCy

Improving efficiencies and reducing sku’s can help save time and money:

• No disposables – with forced air systems, a disposable blanket

(costing $8 - $10) is thrown away after every procedure

• Improve OR turnaround time – simply disinfect the PerfecTemp

surface, and you’re ready for the next case

• Reusable pads – no need to maintain additional inventory

• Low energy use – save on your electric bill and reduce your

carbon footprint (see energy consumption on back cover).

*Pressure reducing properties are effective for patients up to 500 lbs.

pErfECTEMp warMS

larger SurfaCe area

Thermal images demonstrate that PerfecTemp

uniformly warms a larger surface area than

forced-air warming systems.

PerfecTemp Warming System

Thermal imaging shows uniform warming over a large surface area.

forced-air Warming System

Thermal imaging shows inconsistent warming.

flexible and durable heating element for uniform heating.


• No disposables

• Improved OR

turnaround time

• Avoid pressure ulcers


• Warms larger surface area than forced-air systems

• Provides more uniform heating


Avoidance of Pressure Ulcers Several studies indicate that procedures longer than two and

one-half to three hours significantly increase the patient’s risk

for pressure ulcer formation.13 To combat this, positioning

devices should maintain normal capillary interface pressure of

32 mmHg or less.14

THE oNly warMiNG SySTEM To offEr prESSurE rEdiSTriBuTioN

PerfecTemp has two layers of advanced foam for superb

pressure redistribution3:

• Visco-elastic “memory foam” (1") – better than

ordinary foam at reducing pressure

• High-resilience foam (2.5") – below the memory foam

and the heating element, for maximum support even with

bariatric patients (up to 500 lbs.)

leSS friCTioN

The high-tech synthetic pad cover reduces friction – a factor

known to contribute to skin breakdown.

• Stretches in all directions – so it yields instead of rubs

against a patient’s skin

• Strong yet conformable – not rigid

dartexTM Cover Material

• 2/4 way stretch for pressure dispersal

• Breathable

• Balanced for reduced shear and greater patient comfort

Visco-elastic (memory) foam

• For maximal pressure relief

High resilience foam

• For maximal support

Pressure mapping demonstrates that with a 200-lb. person, PerfecTemp table pads maintain normal capillary interface pressure of 32 mmHg or less.

Contact area 511 inch

Highest Value 60 mmHg

# inch > 32 mmHg 36 inch

# inch > 50 mmHg 4 inch

Capillary iNTErfaCE prESSurE wiTH pErfECTEMp

Easy to Use

SilENT, CoNduCTiVE warMiNG for all paTiENTS

PerfecTemp’s conductive warming is silent. And with no blowing hot air,

PerfecTemp creates a more comfortable environment for surgeons because it

doesn’t cause the room to heat up.

Instead of covering a patient with a cumbersome, disposable blanket,

PerfecTemp’s underbody warming offers full patient access. So every patient can

be warmed, regardless of the procedure, from pediatrics through adults up to 500

lbs. It’s also X-Ray translucent and compatible with reusable grounding pads.

rEduCE STaff TiME wiTH SiMplE SETup aNd auToMaTiC TiMEr

Because the pads and the control unit remain in the OR, there’s very little setup.

With the built-in timer, PerfecTemp can even be set to turn on automatically

before the first procedure of the day, eliminating setup time altogether.

The easy-to-use system consists of three components:

• OR table pads – replacing your existing OR table pads

• Control unit – small and light weight; mounts

to IV poles or flat surfaces

• Two cords – connection (12') and power (10')


• Visco and high-resilience

foam for pressure

redistribution

and comfort

• High-tech cover helps

prevent skin shear


• Full patient access

• Automatic timer

• Silent operation

• Reduced setup time


REFERENCES1. Egan C, Bernstein E, Reddy D, et al. A Randomized Comparison of Intraoperative Warming With the LMA PerfecTemp and

Forced Air During Open Abdominal Surgery. Available at: http://clinicaltrials.gov/ct2/show/NCT01094119. Accessed February 1, 2011.

2. Surgical Care Improvement Project. SCIP-Inf-10: Surgery Patients with Perioperative Temperature Management. Specifications Manual for National Hospital Inpatient Quality Measures.

3. Data on file.

4. Sessler D, Todd M. Perioperative Heat Balance. J Amer Soc Anesth. 2000; 92(2): 578. Available at: http://journals.lww.com/anesthesiology/Fulltext/2000/02000/Perioperative_Heat_Balance.42.aspx#. Accessed February 4, 2011.

5. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalization. N Eng J Med 1996; 334(19): 1209-1215. Available at http://www.ncbi.nlm.nih.gov/pubmed/8606715. Accessed January 19, 2011.

6. Frank SM, Fleisher LA, Breslow MJ, et al. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. JAMA 1997; 277: 1127-1134. Available at http://www.ncbi.nlm.nih.gov/pubmed.

7. Bush HR Jr., Hydo J, Fischer E, et al. Hypothermia during elective abdominal aortic aneurysm: The high price of avoidable morbidity. J Vasc Surg 1995; 21(3):392-402. Available at: http://www.ncbi.nlm.nih.gov/pubmed/7877221. Accessed January 19, 2011.

8. Schmied H, Kurz A et al. Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. The Lancet1996; 347 (8997); 289-292. Available at http://www.ncbi.nlm.nih.gov/pubmed.

9. Heier T, Caldwell JE, Sessler DI, et al. Mild interoperative hypothermia increases duration of action and spontaneous recovery of vecuronium blockade during nitrous oxide-isoflurane anesthesia in humans. Anesth. 1991; 74(5):815-819. Available at http://www.ncbi.nlm.nih.gov/pubmed.

10. Lenhardt R, Marker E, Goll V, et al. Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesth. 1997; 87(6):1318-1323. Available at http://www.ncbi.nlm.nih.gov/pubmed. Accessed January 19, 2011.

11. Aronovitch SA. Intraoperatively acquired pressure ulcers: are there common risk factors? Ostomy Wound Management. 2007; 53(2):57-69.

12. Centers for Medicare and Medicaid Services. Proposed Changes to the Hospital IPPS and FY2009 rates. Available at: http://edocket.access.gpo.gov/2008/pdf/08-1135.pdf. Accessed March 31, 2011.

13. Recommended practices for positioning the patient in the perioperative practice setting. Journal of the Association of Operating Room Nurses. Jan., 2005: 427-432. Available at http://findarticles.com/p/articles/mi_m0FSL/is_1_73/ai_70361341/?tag=content;col1. Accessed January 19, 2011.

14. Recommended Practices for Positioning the Patient in the Perioperative Practice Setting. J WOCN. 2001;73(1):231-5, 237-8. Available at: http://findarticles.com/p/articles/mi_m0FSL/is_1_73/ai_70361341/. Accessed February 1, 2011.

SpecificationsCoNTrol uNiT

Dimension of Control Unit 7.5" (19 cm) W x 8" (20.3 cm) D x 11.5" (29.2 cm) H

Weight of Control Unit 8.8 lbs. (4 kg)

Control Unit Mounting Clamp to an IV pole or place on a hard flat surface

SafETy SySTEMAlarm System Over temperature – display flashes “Over-Temperature,”

alarm sounds, heating element shuts offFault – display flashes “Fault,” alarm sounds

Over Current Protection Fused Lines

Variety of Sizes and CombinationsPerfecTemp pads are available in a wide variety of dimensions, and our selection

of bundles includes many different combinations of pads. Ask your Medline

representative for more information.

40" Torso Pad(PTPAD40TP)

18.5" Foot Pad(PTPAD185FP)

Standard Armboard Cover(PTPADAB)

10" Head Pad(PTPAD10HP)

Control Unit(PTPADCU)

12 1-800-MEDLINE | www.medline.com

Medline United States1-800-MEDLINE (633-5463)www.medline.com [email protected]

Medline Canada1-800-396-6996www.medline.ca [email protected]

Medline México01-800-831-0898www.medlinemexico.com [email protected]

Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure. ©2011 Medline Industries, Inc. Medline is a registered trademark of Medline Industries, Inc. PerfecTemp is a trademark of Medline Industries Inc.MKT211092 / LIT491R / 10M / XXX

Medline Industries, Inc.One Medline PlaceMundelein, IL 60060

Compared item PerfecTemp forced-air Systems

Patient Access 100% LimitedNoise* 0 dBA 55 dBAEase of Use 1 step 7 stepsBlowing Air No YesDisposables Required No YesUnderbody Warming Yes NoFull Patient Access: Open Heart Surgery Yes No C-Sections Yes No Neuro/Spine Surgery Yes No

Senses Temperature at Patient Interface Yes No

Pressure Reduction Yes NoHelps Prevent Shear Yes NoAutomatic Timer Yes NoEnergy Consumption* 96 W 1550 WPatient Interface Safety Alarm Yes NoReduces Carbon Footprint Yes No

*As reported in the service manual.

PerfecTemp vs Forced-air systems

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Perfec - Medline Industries · the mattress, allowing for optimal heat delivery efficiency and unparalleled safety. The leading forced-air system only monitors the temperature at