1. Armin Schorer
CEO
35 years in healthcare for surgical instruments and medical devices
20 years processing of OR and CSSD with design of software
15 years research in marking surgical instruments with RFID technology
1998 founding ASANUS in Neuhausen ob Eck, nearby Tuttlingen South-West Germany
my vision „All Processes around in Operating Theatre fully electronical transparent“
Business units
Surgical Instruments
Informationtechnology
- Software engineering with RFID Technology

2. Digitalisation of
Operating Theatre and CSSD
Quality Assurance with Real Time Logistics

3. Actual situation in hospitals
Central Sterilisation Department
Operating theatre
Low or no detailed information about about daily needs in OR (Black Box)
low knowledge about operation purpose of surgical instruments
No daily real time plan about the OR needs for surgical instruments
Maintainaince, sterilisation and supply of surgical instruments with high pressure for cssd staff
Communication via phone and paper no real time
low payed staff with low education level for high tech maintainance for thousands of different surgical instrument types of millions $ value!
No view and information into CSSD workflow processes (BlackBox)
No information about status and content of sterile packed instrument sets
High pressure in OR „time is money“ exchange time for next patient is to long!
Low knowledge about cleaning, maintainance and of surgical instruments
Expectation: Everything is ready for use when they do need it.
Comunication to CSSD via phone or paper

4. Consequences Central Sterilisation Department Operating theatre
Fealures during packing of instruments into trays upon missing items or wrong item packed
Uncoordinated supply of instruments to OR due to missing OR informations of their demands
Finger pointing from OT staff to CSSD staff with high conflict potential and frustration
High sick rate of staff – pressure
Missing Instruments in sets
Wrong instrument in sets
Searching of instruments
Additional use of full sterile other set for getting one search
Long waiting time for patient and staff upon seaching
Operation postpone upon searching
OR time become longer
Costs increase
Frustration and conflict OR - CSSD

5. Risk for Patient – left Instrument in body
Hip Implant Operation
instruments – 20 sets
Counting 2 persons
a. before operation
b. after operation
Which human is perfect and counting as a machine?
3000 lost items per year in German hospitals
Source: Study by Siemens 2007
Re operation cost ,-- Euro
+ image loss + penalties + ………………

6. ASANUS Solution with RFID und BarCon Software
Central Sterilisation Department
Operating theatre
RFID registration at entrance of OR and disposal out of OR area
Digital information about set content packed in CSSD of each instrument
Digital information about set localisation
Counting of instruments during operation with RFID registration – all items are out of patient !
Marking surgical instrument with RFID chip
RFID registration during packaging process of instruments –all items have to be registration
RFID
RFID Set
RFID
Marking of sterile container set with RFID
RFID Registration of sterile containers at supply
RFID trolley
RFID

7. Digitalistion Results in hospitals
Central Sterilisation Department
Operating theatre
Digital real time communication with ASANUS BarCon Software and RFID Tags
Unique worldwide
Digital information of
Daily operation plan and it´s instruments and material demand for each case
Material movement from CSSD to OR and back
repairs of instruments from OT
Claims from OT
Maintainance and media information of each instrument
Efficiency in planing and preparing sets in CSSD for OT in real time
Lesser trays needed per Operation
Lower costs
Staff more motivated – more output!
Digital information of
Setcontent in real time
User manuals for items in OT
Set localisation status
Instrument Sets are permanent complete ready for use
10x faster counting of instruments in OT
Saftey of patient assured with digital RFID counting process in OT – no instrument may be left in patient!

8. Case Care Management Software by ASANUS
In real time monitoring of material demand and supply status in supply and user areas
Unique worldwide

9. Conclusion
Intelligent BarCon Software with RFID Chip Technology do automating processes in hospital
Automatization of processes
do lower significant the total production costs
improve significant the quality of work
achieve maximum patient saftey!

10. References BarCon Software
Charité Berlin (3200 beds)
Halle University Hospital(1200 beds)
Linz Austria University hospital (740 beds)
Bremen city hospital group(1500 beds)
Munich city hospital group (4000 beds)
Bochum Univeristy hospital (1000 beds)
Singapore hospital (1600 beds)
……………………………………………….
National and international
More than 100 clinics are using ASANUS Software
in different languages.

11. Thank you very much for your attention
For questions:
ASANUS in Neuhausen ob Eck, Germany