Pintler Medical Resistive Patient Warming & Pressure Reduction

1. Pintler MedicalResistive Patient Warming & Pressure Reduction Warm Every Patient, Every Time Every Type of Table is Available

2. Physics of Conductive Warming Laws of Thermodynamics Heat moves to cold Heat rises Conductive Warming: High efficiency/Low energy consumption Conductive Warming: 25-50% more efficient Conductive Warming is the transfer of warmth to patients via contact warming . The patient’s body traps rising warm The human torso is fully warmed, not portions of the body. View the next slide for Thermal Images of Patient Warming!

3. PhysicsConductive Warming vs Forced Air Warming*Thermal Images w/FLIR Camera*U of WA Med Center Anesthesia study: 30 minutes Active Warmingcomparison of Pintler to Bair Hugger - equal time and subject. Supine Image w/Pintler Setting 41C, All Skin in contact 36C Thermal Image of Upper Body Bair Hugger Maxi temp Setting No Skin sites reached 36C within 30 minutes

4. Summit, Heated Ortho PadUse in Beach Chairs & Bean Bag position, Wilson & Jackson Frames.Specialty Tables: Hana & Cysto • Flexible design for contour fit w/Patient • Flexible warming pad for use with Bean Bag , Beach Chair, Hana Table or other positions. • Flexible sizes • Thin profile w/pressure reduction foam • Durable and well accepted

5. Pinter Family of Innovation • The Pintler Family of Patient Warming and Pressure Reduction Surfaces - PEAK – Warming OR table pad set, manufactured for all tables types. Steris, Trumpf, Skytron, Getinge, Hybrid and Cath Lab Tables - SUMMIT – Flexible warming, focused to Orthopedic or Bean Bag use. Use w/Wilson Frame, Bean Bag lateral positioning, Jackson Frame - VISTA – Heated Stretcher pad, cut to fit all stretcher sizes. PreOp Warming, ER Warming, and other demands for care - BASE+ - Unheated Pressure Reduction Surgical and Stretcher pads Pressure reduction pads that exceed the AORN 3” recommendation - TRENDELENBURG Positioner – non-skid foam that attaches to the PEAK Pad. Non-slip foam and attachments to hold this pad and patient from moving. - BOOTIES/MITTEN – Thermal insulating protection for feet/hands Ideal for use with special patients and patients w/elevated feet.

6. Design of the Pintler Patient Warming Pads! • Optimum Pressure Redistribution for Every Patient • Highest Quality US Made Visco Foam • Overall thickness of 3.5” • -AORN recommendation is 3” for skin care! Heating element embedded within the comfort of foam • Long Life – we have users with a 8 year use life. • Xray Transparent • No EMI • Sensor technology for safe temperature management DARTEX Healthcare Covering • Water proof sealant on all seams • Clean with standard OR protocol • Withstands the demands of tape • Can be replaced if damaged – unique to Pintler

7. Robotics and Trendelenburg & Reverse Trendelenburg Positioning Trendelenburg pad allows patient to be intubated and moved into position by staff w/ease and safety. Patient is moved into position and the non-skid foam snaps to the pad. Add the cross body belt and patients are safely secured

8. End Cold Feet during surgery for Pediatrics and the aged with a single product Booties: Silvertanium lined foam to end thermal evaporation and add skin protection, all sizes. Mittens: Silvertanium lined foam cut to fit w/opening for Pulse oximeter placement Low cost and delivers a warm patient to recovery in PACU or to the floor. All the patient’s body heat to be retained and deliver comfort.

9. PreOP Warming – a warming patient arriving in Surgery w/o disposable cost Heated Stretcher pads, fits all brands of strechers. Remove the cost and waste with Paws. Reduce the consumption of Bath Blankets Hand control pendent allows the patient to select temperature level or no warming. VISTA delivers active patient warming in minutes. Pressure activated - active warming requires a weight of 5 lbs., when the patient leaves the pad power is removed.

10. Financials Simple patient warming w/o the waste trail – Green the OR Pintler Warming Life: Average of 5+ Years, Every Pintler system delivers a new set of OR pads that meet and exceed the AORN Standards. Pintler ROI – 12 months or less. Reduction in the number of bath blankets, 2-3 No waste disposal cost. Every patient warmed and provided a pressure reduction surface, every surgery Green the OR in one way, reduce the disposable warming blanket waste.

11. Gain with Pintler Warming • Reduce/remove the use of “Bair Hugger” • Cease using “Bair Paws” • Measure the reduce consumption of bath blankets w/VISTA heated stretcher • End the use of “water pads” • CVOR old practice for patient cooling that isn’t needed anymore • Conductive warming application is about the OR environment before the patient arrives. • Set the OR table with sheet and unit at 40C • Removing the demands and requires on staff for warming and delivery of bath blankets or disposables. • Post warming no waste stream

12. Pintler Patient WarmingDeliverables Every patient is warmed and provided pressure reduction Medicare/CMS Guidelines Satisfied AORN Guidelines Satisfied Anesthesia PQRS 424 Guidelines Satisfied Green Solution – Remove A Waste Trail Financially measurable savings with a 1 year ROI Questions?