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Healthcare an technical textiles from an international Point of view – the German
focusAndreas Schumacher
Deutscher Textilreinigungsverband (DTV),Germany
Rome, May 8th 2015 – EORNA Congress
Hospital data from Germany
Data about the German hospital market (2013 / 2012)
• Number of hospitals 1.997 / 2.017• Number of hospital beds 500.671 / 501.475• Number of cases 18.787.168 / 18.620.442• Number of surgeries 15,8 Million• Duration of stay 7.5 days / 7.6 days
Rome, May 8th 2015 – EORNA Congress
The hospitals in Germany
Hospital structure in Germany
Rome, May 8th 2015 – EORNA Congress
596
706
694Public hospitals
Charitable hospitals
Private hospitals
Main trends:• 50 % of hospitals in the reds – significant investment backlog• result: decisions in procurment purely based on prices• private hopsitals are increasing as well as bying syndicates
The market for surgical textiles in Germany
• Turnover - market for surgical drapes and gowns (reusable and disposable) estimated: € 280 - 300 Million
• highly under pressure and competitive• reusable textiles lost market shares in the last 10 years from
appr. 40% to currently appr. 15%• main reason: price pressure and marketing• other decisive factors such as process costs, qualty, hygiene
oder handling are not considered
Rome, May 8th 2015 – EORNA Congress
Locations of processors of surgical textiles
Rome, May 8th 2015 – EORNA Congress
• companies specialised on supplying textiles for health care
• some hospitals still processing own surgical textiles
• estimated 1.500 employees in Germany work with surgical textiles (including consulting and distribution)
The workforce
• reusable surgical textiles differe in their value added chain from disposables – most of the work is done close to the hospitals
Rome, May 8th 2015 – EORNA Congress
The regulation in Germany
• MPG – Medizinproduktegesetz – takes over the regulations of the EU medical device diretive
• several regulations, e.g. MeidizinproduktebetreiberVO which regulates the operation, application and reprocessing of medical devices
• Annex V – part 3 of the EU-Directive 93/42 EWG– Medical device directive for the saftey of medical devices including
regular audits • Recommendations of the RKI (Robert-Koch-Institut) regarding
textiles in healthcare in general and surgical textiles specifically – regarding the level of cleanliness
Rome, May 8th 2015 – EORNA Congress
The technical standards
• DIN ISO 13485 – Quality management for medical devices
• DIN EN 13795– specifies the requirements of the medical
device directives for surgical drapes and gowns
Rome, May 8th 2015 – EORNA Congress
Life cycle of reusable surgical textiles
Rome, May 8th 2015 – EORNA Congress
productiondelivery
supplier
processing control
sterilisation
stor
age
commission
delivery hospital
Usage in
hospital
colle
ctio
nfr
om
hosp
ital
disposal
outside Germany
appr. 80 cycles within Germany
The peak of the iceberg
Rome, May 8th 2015 – EORNA Congress
Basic Functionality Price
Additional consumptiondisposal of waste
FunctionalityComfortRisk MinimisationBarrier PropertiesMechanical Durability
cost-return-analysis necessary!communication task
The future
Advantages of reusables• focus on costs of processes in the hospital instead of the price
– process optimisation and reducing costs still a relevant topic• textile service partners supporting hospitals with disposition
and planning supported by relevant data of the use• hospitals and their textile service partners together can
develop calculation together – transparency will be key• procedure packs adapted to the OR processes and diverse
surgical procedures• optimal logistics integrated in the hospital and surgery
processes
Rome, May 8th 2015 – EORNA Congress
Thank you for your attention!
Deutscher Textilreinigungs-Verband (DTV)
Andreas Schumacher, MD
Email: [email protected]
Fon: +49 (0) 228 917 31 26
Rome, May 8th 2015 – EORNA Congress