1. Healthcare an technical textiles from an international Point of view – the German focus Andreas Schumacher Deutscher Textilreinigungsverband (DTV), Germany Rome, May 8th 2015 – EORNA Congress

2. Hospital data from Germany Data about the German hospital market (2013 / 2012) Number of hospitals1.997 / 2.017 Number of hospital beds500.671 / 501.475 Number of cases18.787.168 / 18.620.442 Number of surgeries15,8 Million Duration of stay7.5 days / 7.6 days Rome, May 8th 2015 – EORNA Congress

3. The hospitals in Germany Hospital structure in Germany Rome, May 8th 2015 – EORNA Congress 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

4. 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

5. 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)

6. 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

7. 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

8. 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

9. Life cycle of reusable surgical textiles Rome, May 8th 2015 – EORNA Congress production delivery supplier processing control sterilisation storage commission delivery hospital Usage in hospital collection from hospital disposal outside Germany appr. 80 cycles within Germany

10. The peak of the iceberg Rome, May 8th 2015 – EORNA Congress Basic Functionality Price Additional consumption disposal of waste Functionality Comfort Risk Minimisation Barrier Properties Mechanical Durability cost-return-analysis necessary! communication task

11. 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

12. Thank you for your attention! Deutscher Textilreinigungs-Verband (DTV) Andreas Schumacher, MD Email: schumacher@dtv-bonn.de Fon: +49 (0) 228 917 31 26 Rome, May 8th 2015 – EORNA Congress