Medical Professionals: Clinical
Orthopedics Surgery
Challenge
Warming while maintaining sterility of the surgical field is critical. Research shows a single airborne germ can cause an implant infection. Forced-air warming systems have been shown to increase particles over the surgical site 2000x. As a result, orthopedic surgeons recommend air-free warming instead of forced-air during implant surgery. Research
In addition, orthopedic operating rooms are typically several degrees colder than general operating rooms and result in high rates of hypothermia. A 2014 study in the Journal of Arthoplasty found that a “disturbingly high” 26.9% of patients undergoing hip or knee replacement surgery remained hypothermic at the conclusion of surgery despite being warmed by a forced-air system.
Why HotDog Excels
HotDog is air-free. Patients are efficiently warmed without producing significant amounts of waste heat, which, with hot-air systems, is the vector for contaminants to reach the sterile field.
HotDog can warm from above and below the patient at the same time resulting in more effective warming than any other system. The underbody mattress overlay can go inside of bean bags, over peg-boards, and used with other positioners to adapt to the challenges of any case.
Recommended Product Mix
WC77 Multiport Controller
U101 Underbody Warming Mattress
B500 Universal Blanket
B103 Lower Body Blanket
Spine Surgery
Challenge
Warming while maintaining sterility of the surgical field is critical. Research shows a single airborne germ can cause an implant infection. Forced-air warming systems have been shown to increase particles over the surgical site 2000x. As a result, orthopedic surgeons recommend air-free warming instead of forced-air during implant surgery (Research).
In addition, warming during spine surgery is challenging, especially with open-frame tables (like the Jackson™ table). Exposure to the cold floor-environment because of the open-frame table results in radiant heat loss and a declining core body temperature for the surgical patient. The only way to offset that heat loss is to warm as much surface area as possible. Two hot-air blowers are noisy, hot, and impractical.
Why HotDog Excels
HotDog is air-free. Patients are efficiently warmed without producing significant amounts of waste heat. Waste heat from forced-air systems has been shown to increase contaminants at the surgical site by 2000x compared to HotDog.
HotDog controllers can operate two blankets at the same time, making HotDog the ideal solution for warming during spinal surgery.
Recommended Product Mix
WC77 Multiport Controller
B500 Universal Blanket
B103 Lower Body Blanket
U101 Underbody Warming Mattress
Robotics
Challenge
Laparoscopic surgeries with robots create very difficult warming cases. The patient is often positioned in steep Trendelenburg, and the only warming surface is above the nipple line (with arms tucked and legs in stirrups). Cold positioning pads often contribute to high rates of patient hypothermia.
Why HotDog Excels
HotDog’s WaffleGrip™ accessory — a Trendelenburg positioning system — safely anchors the patient while providing an effective warming solution. Single-use WaffleGrip covers the reinforced HotDog mattress (U300) to secure the patient while allowing warming from below. WaffleGrip holds the patient primarily with friction, minimizing pressure on the brachial plexus. It’s the world’s first Trendelenburg positioning system that can warm while holding the patient in place.
Recommended Product Mix
WC77 Multiport Controller
B500 Universal Blanket
U300 Warming Mattress
A301 (WaffleGrip and BackSaver Kit)
Plastic Surgery
Challenge
Body-contouring procedures require a lot of exposed surface area. These cases are often “wet,” which can lead to evaporative heat-loss and hypothermia with forced-air systems.
Similar to orthopedic implants, implants used in plastic surgery need to be kept free from airborne contaminants. Forced-air warming systems have been shown to increase particles over the surgical site 2000x. (Research)
Why HotDog Excels
This customer testimonial perfectly sums up HotDog’s advantages:
“Our Plastic Surgery practice had a significant problem with hypothermia, particularly during breast and body contouring procedures where forced-air heating was inadequate because of the large surface areas exposed. Since converting to the HotDog Patient Warming System, our patients arrive in PACU normothermic, they emerge from anesthesia faster and in less discomfort, and are ready for discharge sooner. My anesthesia providers love it, and my Bair Hugger has been permanently relegated to recovery room duties.”
Recommended Product Mix
WC77 Multiport Controller
B103 Lower Body Blanket
B500 Universal Blanket
U102 Underbody Mattress
Pediatrics
Challenge
Pediatric patients have high surface-to-mass ratios, meaning they warm and cool very quickly. The limited surface area also presents challenges. Infants are particularly difficult.
Does forced-air warming ever inadvertently displace small surgical patients? Does it irritate the surgeon with waste heat and noise? Does it cool patients with evaporative heat loss in wet procedures? These are all common complaints we hear from physicians using hot-air systems with pediatric patients.
Why HotDog Excels
Air-free conductive fabric warming solves all of these unintended and complicated issues. It’s safe, easy-to-use, air-free, and efficient. HotDog patient warming is FDA 510k cleared for use on pediatric patients. See the brochure for more information.
Only available in the US.
Recommended Product Mix
WC77 Multiport Controller
U220 Pediatric Underbody Warming Mattress
B203 Pediatric Lower Body Blanket
B270 Pediatric Head Wrap (Small)
B271 Pediatric Head Wrap (Large)
U101 Underbody Mattress
See the M125 Pediatric Brochure for a description of each product.
Cardiovascular Surgery
Challenge
Full access to the patient is needed, and sterility is vital, so forced-air systems are discouraged. Circulating water mattresses increase vascular occlusion and, therefore, can contribute to pressure-related injuries.
Why HotDog Excels
The conductive fabric heating element in HotDog mattresses is designed to not interfere with the pressure-reduction qualities of an OR mattress—a revolutionary advancement. Nearly all other underbody warming technologies are stiff, increasing the chance of patient bed sores via vascular occlusion and heat-accelerated tissue necrosis. HotDog does not increase vascular occlusion and is controlled at temperatures safe for under the patient.
Recommended Product Mix
WC77 Multiport Controller
U102 Underbody Mattress
Labor & Delivery
Challenge
Full frontal access is needed for skin-to-skin contact. Mothers need to hold their newborns after birth without a warming blanket in the way.
Why HotDog Excels
HotDog warms under the patient without restricting access to the patient with the underbody mattress. The gentle warmth provides comfort to the mother during an exciting, yet stressful, time.
Recommended Product Mix
WC77 Multiport Controller
U101 Underbody Mattress
Thoracic, Transplant, or Other Major Abdominal Surgery
Challenge
High rates of hypothermia are common during large abdominal procedures. The patient is exposed and opened up at the core, leading to radiant heat loss and a declining core body temperature. The only way to offset that heat loss is to warm as much surface area as possible. Two hot-air blowers are noisy, hot, and impractical.
Why HotDog Excels
A HotDog controller can operate two blankets and a warming mattress simultaneously. That maximum surface area provides effective warming during these difficult procedures.
Recommended Product Mix
WC77 Multiport Controller
B103 Lower Body Blanket
B500 Universal Blanket
U101 or U102 Underbody Mattress
General OR Surgery
Challenge
The warming system needs to be versatile to adapt to a variety of surgical procedures and patient positions.
Why HotDog Excels
HotDog provides complete perioperative warming solutions, from pre-op through post-op. HotDog is the warming solution for your most basic to your most challenging cases: lateral, lithotomy, spine, CVOR, robotics, etc. It’s the only warming system that can warm from above and below the patient at the same time, offering unrivaled versatility.
HotDog conductive fabric warming technology meets the SCIP and PQRS guidelines for active warming.
Recommended Product Mix
WC77 Multiport Controller
B103 Lower Body Blanket
B500 Universal Blanket
U101 or U102 Underbody Mattress
Trauma Surgery
Challenge
Versatility and quick warming is essential. The product needs to be easy to apply and easy to clean.
Why HotDog Excels
The patient arrives to a warm operating table without restricting access to the patient. If there is surface area available to warm, then a blanket can be placed quickly and easily. The blankets reach set temperature in 2-3 minutes, so there is no wasted time.
HotDog products are designed for easy cleaning. The shell is non-porous, and the edges are RF-sealed to prevent fluid ingress. An antimicrobial solution is embedded in the outer shell to prevent the growth of micro-organisms. More on cleaning: Infection Control Info.
Recommended Product Mix
WC77 Multiport Controller
B103 Lower Body Blanket
B500 Universal Blanket
U102 Underbody Mattress
Catheterization Laboratory or Electrophysiology
Challenge
Radiolucence (clear for x-ray) is required. Small vibrations can have big consequences in the EP lab, making warming systems with moving parts (i.e. forced-air blower fans) unusable.
Why HotDog Excels
The heater in HotDog products is radiolucent, and the warming system does not interfere with magnetic navigation in catheter ablation. The HotDog mattress provides continuous underbody warming.
Click here to learn which parts of the mattress are radiolucent.
Recommended Product Mix
WC77 Multiport Controller
B103 Lower Body Blanket
U102 Underbody Mattress
Pre-operative Holding and Post-anesthesia Care Unit
Challenge
Need inexpensive and effective pre-warming to reduce the effects of redistribution hypothermia. Hot-air systems are expensive and ineffective.
Why HotDog Excels
“It’s a huge patient-satisfier!”
HotDog can provide actual pre-warming because it warms the legs. Warming the legs is the only way to reduce the core-to-peripheral temperature gradient that contributes to redistribution hypothermia under anesthesia.
HotDog can warm for as little as $1 per patient.
Recommended Product Mix
WC71 Single Port Controller
B103 or B104 Lower Body or Full Body Blankets