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Midbrook Medical Products & Services Offerings
1. MIDBROOK MEDICAL
Experts in design, manufacturing & service
Innovative Infection Prevention Products
• Automated Cleaning consistent, repeatable, verifiable results
• New solutions to assist each health system thrive within the
reality of the Health Care Reform Act
2. Custom machine builder for nearly 40 years
• ISO 13485:2003
and ISO 9001:2003 Certified
• Registered with a number
of accrediting agencies, and
is GSA contract holder
• EPA Registered for
Manufacturing Copper Alloy
Products
3. Not your typical medical vendor
CUSTOMERS
INCLUDE:
Chrysler
General Motors
Dart Container
Corp
U.S. Air Force
Entered into healthcare in 1999
Detroit Diesel
University of
Michigan
Hospitals
And Thousands
More
4. World-leader in designing, manufacturing & servicing
of cleaning equipment
MIDBROOK
MACHINES Midbroook can clean
CLEAN:
virtually any item –
no matter how
• Surgical complex.
instruments
• Engine blocks
•Hospital carts
• Airplane
wheels
• Dunnage
• Water bottles
• And more
5. Bringing a fresh perspective to healthcare
Midbrook is using its cleaning
expertise from other industries to
combat
Hospital-Acquired Infections
7. The number of HAIs is alarming
In the U.S. 270 deaths per day occur from HAIs.
A patient who acquires an HAI is five times more
likely to die.1
1. Dalton, John J. “PPACA – Can Patient Protection Produce Affordable Care?” http://www.hfmaphila.org/HFMASpring2011/PPACA.html
8. The cost of an HAI to a hospital is significant
Data for a network of 30 hospitals 30‐800 beds Total Total Cost Per
For a 1‐year period (2004)1 Cases Costs Infection
BSI (Blood Stream Infection) 1,281 $29.7M $23K
SSI (Surgical Site Infection) 1,217 $12.6M $10K
VAP (Ventilator‐Associated Infection) 225 $5.6M $25K
MRSA BSI (Methicillin‐Resistant Staphylococcus aureus 225 $2.7M $12K
Blood Stream Infection)
MRSA (Methicillin‐Resistant Staphylococcus aureus ) 1,061 $6.3M $6K
Total/Average 4,009 $56.9M $14K
Study Concluded:
Total Annual HAI Cost = approx. $1.9M per hospital.
1. Cost
of Healthcare-associated infections (HAI) and Hospital Budgets for Infection Control and Prevention (IC): Just a Drop in the Ocean? DJ
Anderson1,2, KB Kirkland3, Z Kanafani1,2, JJ Engemann1,2, P Thacker1,2, KS Kaye1,2, DJ Sexton1,2. April. 2006
9. Hospitals are unprepared for the cost of HAIs
•Study Concluded:
“Using conservative estimates, the cost of HAI for
the 30 study hospitals was close to 50 million
USD. These hospitals had rates of HAI at or
below nationally published rates. The cost of HAI
dwarfed the amount spent on IC programs in
study hospitals by a factor of 10.”1
Cost of HAI = 10x the budget for Infection Control.
Nationally, HAIs are a $31B issue.2
1. Cost of Healthcare-associated infections (HAI) and Hospital Budgets for Infection Control and Prevention (IC): Just a Drop in the Ocean?
DJ Anderson1,2, KB Kirkland3, Z Kanafani1,2, JJ Engemann1,2, P Thacker1,2, KS Kaye1,2, DJ Sexton1,2. April. 2006
2. Dalton, John J. “PPACA – Can Patient Protection Produce Affordable Care?” http://www.hfmaphila.org/HFMASpring2011/PPACA.html
11. The HAI problem must be solved
• Beginning in 2012, Medicaid’s
federal match will no longer pay for
some HAIs.1
• Medicare will penalize hospitals
with high rates of avoidable HAIs.1
Up to 70% of HAIs are
preventable2
1. Dalton, John J. “PPACA – Can Patient Protection Produce Affordable Care?”
http://www.hfmaphila.org/HFMASpring2011/PPACA.html
2. Umscheid, Craig. Infection Control and Hospital Epidemiology. Feb 2011.
13. Bioburden contains proteins, carbohydrates, &
hemoglobin
Bioburden is defined as:
• Blood
• Bone
• Hair
• Tissue
Bioburden left in surgical tools is a source of infection.
14. Reusable medical devices are hard to clean
Challenges for manual
cleaning:
• Design of instrument
• Insufficient instructions from
manufacturer
• Acumen or motivation of CS
department
Suction Tubes and
• Manual processes cannot be Laparoscopic
accurately repeated
Devices have long
• No way to test the results of lumens and present
cleaning
special challenges.
• Bioburden sets in prior to cleaning
15. Most manufacturers recommend manual processes
for cleaning that are prone to problems
Even when instructions are followed perfectly,
bioburden can remain.
16. Investigation: a suction tip after cleaning &
sterilization per the manufacturer’s instructions
Does it look clean? Let’s look inside.
Would you want this tool used during your
surgery?
17. Following the cleaning process does NOT = clean
=
This device had already been cleaned and
sterilized – it was considered “patient-ready.”
18. Current processes allow dirty surgical instruments to
meet the standards for “clean.”
AAMI Benchmarks: Protein Hemoglobin
(µg/cm²) (µg/cm²)
Canulated Laparoscopic Devices 6.4 2.2
Source: AAMI TIR30:2003
These photos show the interior lumens of surgical
devices AFTER cleaning and sterilization per the
manufacturer’s instructions.
They met the AAMI standards.
19. The current processes for cleaning surgical instruments
leave patients vulnerable to HAIs
An unclean surgical
instrument CANNOT be
sterilized.
22. Midbrook Tempest – automated surgical instrument
washer with advanced cleaning technology
Tempest Technology
– Heated water
– Pre-determined ratio of enzymatic cleaner
– Ultrasonic generation
– Interior lumen flush
– Varying intervals with enzymatic solution
– Air injection bubble cavitation stream
– Interior and exterior rinse with heated water
– Rinse cycle with highly filtered and ozonated
pure water
The Tempest Surgical
Device Washer provides a
reliable way to clean the
difficult-to-reach interior
lumens of cannulated
instruments.
23. The Tempest surpasses the AAMI benchmarks for
“clean” by over 400%
Tests conducted by Nelson Labs show
that the Tempest produced a
6 log reduction. This means that
bacteria levels were 1,000,000 lower
following the washing in the Tempest.
Cannulated Laparoscopic Devices Protein Hemoglobin
(µg/cm²) (µg/cm²)
AAMI Benchmark for Clean 6.4 2.2
Source: AAMI TIR30:2003
Suction Tubes
After 1 Tempest Cycle <3.2 <0.7
Laparoscopic Instruments
After 1 Tempest Cycle <1.9 <0.4
daVinci EndoWrist Instruments
After 1 Tempest Cycle <1.2 <0.2
24. The Tempest fights against HAIs by reliably removing
bioburden from surgical tools prior to sterilization
Manual Cleaning Midbrook Tempest
Time-consuming Efficient
Error-prone Automated and Reliable
Process-focused Results-focused
Wouldn’t you want your surgical
tools to be cleaned by the
Tempest?
26. For decades, Midbrook has used testing methods to
validate cleaning processes
Other industries including: automotive, aerospace, and
food/beverage industries use various ways to test for
cleanliness.
•Gravimetric/Millipore weight limitations
•Particle Measuring and Counting
•ATP measurement
•Black Light
•Water break
•OSEE
Currently, automotive and airplane parts
are cleanliness tested with more rigor
than medical devices.
27. Midbrook’s MediCount ATP System provides a
rapid, quantifiable assessment of surface cleanliness
Provides a rapid, quantifiable assessment
of surface cleanliness
Adenosine Triphosphate (ATP) is an
indicator of cellular activity.
ATP testing is used in the food and
beverage industry to test for the
presence of bacteria.
Results can be obtained in 30 seconds.
Midbrook’s MediCount ATP
System helps healthcare facilities
quickly validate cleaning
procedures.
28. Midbrook’s MediCount Software tracks results
to identify problem areas
Software can be
customized to track
the information that is
most important to a
facility such as:
•Department
•Instrument
•Technician
•Date/Time
•Reading
•Result
•Comments
•And more…
MediCount’s robust software
package logs all tests and provides key
metrics to identify trends.
29. Midbrook’s MediCount ATP Testing Device fights
against HAIs by validating cleaning procedures
Visual Inspection MediCount ATP Test Kit
Assumptions Quantifiable Measurements
No History Tracking by Software
No Trends Identifies Problem Areas
Wouldn’t you want your hospital’s
cleanliness to be validated with a
MediCount ATP Test?
31. Copper has been shown to kill bacteria on contact
EPA acknowledges the efficacy
of Antimicrobial Copper products
against the 6 following disease-
causing bacteria:
• E. coli O157:H7
• Methicillin-Resistant
Staphylococcus aureus (MRSA)
• Staphylococcus aureus (i.e.
staph) Antimicrobial copper
• Vancomycin-Resistant
and copper alloys kill
Enterococcus faecalis (VRE)
• Enterobacter aerogenes
99.9% of bacteria
• Pseudomonas aeruginosa
within two hours
32. Experiment shows the difference between MRSA on
stainless steel versus copper
In <10 minutes, the MRSA bacteria
(green) are still rampant on the stainless
steel (left screen), but virtually gone on
the copper (right screen)
Copper
Stainless Steel
Video snapshot: Professor William Keevil, microbiological researcher and Head of Environmental Research at the University of
Southampton, oversees an experiment in which a small amount of liquid containing between 1 -- 10 million bacteria (MSRA culture) is
placed on both a copper coupon and a stainless steel coupon. http://www.youtube.com/watch?v=2RZXDOdrAdI
33. Copper is being applied in other industries to help
control the spread of infection
The Chilean Subway System is installing copper
handrails to lower spread of infection.
Copper is also starting
to be used for infection
control in healthcare
facilities.
Source: Reuters
34. Midbrook can build any stainless steel item out of
anti-microbial copper
Replacing
high-touch
surfaces with
copper alloys
helps to kill
bacteria on
contact.
35. Copper is only slightly more expensive than stainless
steel, but offers anti-microbial properties
Item Description Stainless Anti-
Steel Microbial
Copper
Medical cart with work surface $472.73 $519.96
36"L x 20"W x 34"H
Installing high-touch Copper Stainless
surfaces made from Steel
antimicrobial copper
is an affordable and
effective method of
infection control.
Graph Source: Antimicrobial copper displaces stainless steel, germs for medical applications
Alloys have natural germ-killing properties. June 20, 2011. Accessed from:
http://www.thefabricator.com/article/metalsmaterials/antimicrobial-copper-displaces-stainless-steel-germs-for--medical-
applications
36. MIDBROOK MEDICAL
UV Flash
60 Second Mobile Germicidal Light
Infection Prevention Station
37. UV Flash
Disinfects a wide range
of everyday objects :
• Stethoscopes
• Writing instruments
• Thermometers
• Cell phones
• Blood Pressure cuffs
• And more
Needed in:
• Hospital nursing stations
• ICUs
• Clinics
• Medical Offices, & more
38. 60 Seconds of light kills over 300 harmful germs
• Staff
• SARS
• MRSA
• C.diff
• And more
40. Midbrook manufactures affordable stainless steel
products that can be customized as needed
Stainless Steel Products Midbrook’s stainless steel
products are high-
Include: quality, custom-built
•Carts and cost-competitive
•Work Stations compared to leading
•Cabinetry manufacturers.
•Tables
•And more
41. Midbrook’s Comprehensive Service Program (CSP)
protects medical equipment under one full-service plan
4 Easy Steps to Save with Midbrook’s Comprehensive
Service Program:
1.Provide all current service contracts to Midbrook
2.Midbrook performs analysis & finds all cost-savings opportunities to protect
your equipment
3.Cancel or cease to renew coverage and move service to Midbrook’s CSP
4.Benefit from one phone call, one provider, & one contract for your service
needs
On average, healthcare facilities
save 20% annually by signing
up for Midbrook’s CSP.
42. Call us for more information about any
of our products or services!
CONTACT sales@midbrook.com
Midbrook Medical
2080 Brooklyn Rd.
Jackson, MI, USA 48203
517.787.3481
