Dedicated Service = Surgical Success

Taking care of all the details, big & small.

At Surgical Direct Inc, we are dedicated to the mindset of continually improving our services. It’s the fabric of our company culture to practice excellent customer service and support. From ensuring that the equipment arrives at your facility on-time, meticulously gathering all case supplies needed for the day, to providing multifaceted OR support. Our team is trained to deliver the best, and it’s in the DNA of our company culture to deliver the gold standard of service to our partners.

The scope of dedicated service benefits.

Surgical Direct delivers the latest Cataract Technology available on the market directly to your OR on the day that you need it. The days of keeping up the industries latest trends by purchasing new equipment every few years is over. Free up storage. Lose expensive maintenance plans and unexpected equipment failure issues.  We make Cataract Surgery a viable and profitable option in any OR, no matter your capital structure.

We want to give you an exhaustive list of the ‘details’ that we oversee when you partner with Surgical Direct Inc. Our team takes much of the heavy lifting in your Cataract Surgery operational details. We are convinced that you’ll begin to see the incredible value that our services provide to your OR and community. 

  • Phaco Machines – The latest machines available on the market from top brands like Alcon, J&J, and B+L. Does the surgeon want to switch platforms? No problem! Upgrade without spending a dollar of capital. Included with our services is all the handpieces you’ll need for the day’s volume of cases. Plus, we are prepared with backups.
  • Microscopes – Cutting edge ophthalmic microscopes that put the surgeon at ease during surgery with crystal clear vision and focus. From brands like Alcon, Zeiss, and Leica, our fleet of microscopes are ready for surgery.
  • Intraocular Lens Implants – No matter the brand, no matter the style, if the patient needs a lens…we provide it. We compile custom lens consignment carts that we roll into your facility with us to ensure if the surgeon needs a backup or changes his lens diopter, we have it. Not only that, but we coordinate directly with the physician’s office ahead of time to ensure we have everything they need on surgery day, we also communicate with your team to make sure every detail is covered. We also handle all ordering, reordering, restocking, returns, and all the paperwork associated with lenses. Quite the load off!
  • Instrumentation – We help coordinate with new surgeons / new facilities that need assistance with instrumentation. Specific instruments, their quantity, and availability on surgery day plays a massive role in how smoothly the surgery day will go.
  • Case Supplies – We have the ability to provide literally everything needed during the case when it comes to supplies (except prescription drugs). Blades, drapes, cannulas, packs, table covers, BSS, tips, sleeves, viscoelastics, lens cartridges, malyugin rings, capsular tension rings, iris hooks….and more! Specialized and tailored supply lists for each surgeon is going to be unique. This includes standard supplies as well as backup supplies. Our standard is to have everything the surgeon might need (and some) so that we are prepared for any unexpected circumstances. Plus, this alleviates the need to stock, reorder, restock, and manage cataract case supply inventory.
  • Technical and Present Support for EVERY case – Every case with Surgical Direct Inc, one our highly trained surgical coordinators is assigned to your day. Our 90-day training program rigorously prepares them with knowledge and know-how on what to do in any situation. We arrive early with the equipment, set up the room, prime and check the machines, pass off instruments and supplies for prep, and are in the room for every case of the day. We do everything from open sterile fields, adjust settings for the surgeon, and help with turnover. They might even walk in with donuts for the staff from time to time…. just because. 😉 Our coordinators become a vital part of your team on eye day, looking for opportunities to serve the surgeon and room staff any way they can.

Our goal is to deliver exceptional value to every case. We have intentionally developed strategies and put methods in place for the sole benefit of our customers. Why? Because the better we can serve our customers (OR staff and surgeons) the better patient care we can provide the patients together.  Smoother and more efficient surgery means better outcomes. That is what has driven Surgical Direct Inc forward every year.

Are you ready to access this value in your OR? We are ready to partner with you.

Give us a call today! Let’s talk through your specific surgical situation and how we can increase productivity and stability for your cataract day.

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More about our Mobile Cataract Services

Mobile YAG & SLT Lasers

The efficiency of surgical procedures in today’s Ophthalmic landscape is an always-increasing priority for surgeons and facilities alike. For most Ophthalmologists, time is very valuable, and we understand the need to increase surgical efficiency as much as possible without decreasing patient care and optimal outcomes. Our goal at Surgical Direct Inc has always been to creatively problem solve and create the paths of least resistance for your eye practice. We create options and eliminate obstacles. In many cases, it makes sense for an Ophthalmologist to add YAG or SLT procedures to a surgery day, especially in a satellite surgery location or a rural area. Your best option is a Mobile YAG & SLT Laser service like ours. 

Mobile YAG & SLT Laser procedures add efficiency boosts to your satellite practice.

If you are reading this post and are unfamiliar with YAG and SLT lasers, allow us to shed some light for you.

1) Mobile YAG Laser

A YAG laser is used primarily for 2 procedures; a Capsulotomy, and an Iridotomy. A YAG Capsulotomy is a special laser treatment used to improve your vision after cataract surgery. It is a simple, commonly performed procedure which is very safe. In some patients, after cataract surgery has been performed, the remaining capsule becomes thick and hazy. This can occur anywhere from a few months to a few years after surgery. The YAG laser is used to make small holes in the capsule, which in effect causes the capsule to return to its original thickness and removes the haziness. A YAG Iridotomy is a glaucoma treatment procedure which involves creating a tiny opening with the laser in the peripheral iris, allowing aqueous fluid to flow from behind the iris directly to the anterior chamber of the eye.

Adding YAG Capsulotomy or Iridotomy cases onto your cataract day can reduce your OR days by including both cataracts and YAGs in the same day. Putting more procedures onto 1 day can reduce the need for multiple smaller surgery days, which makes your surgery days more profitable, and frees up more days in your month. If you are operating in satellite locations, this potentially reduces the number of trips a surgeon will need to make to the area, and at the same time increases efficiency and profitability of each trip. And since YAG cases typically only take a few minutes, this doesn’t prolong the day by much, but it does increase revenue!

2) Mobile SLT Laser

Selective Laser Trabeculoplasty (SLT) is primarily an in-office procedure that reduces intraocular pressure in patients with glaucoma. The laser is applied through a special contact lens to the drainage system of the eye where it stimulates a biochemical change that improves the outflow of fluid from the eye.

Similarly to YAGs, any surgeon that works with Surgical Direct also has the option to add SLT procedures to their surgery days if the surgeon wishes to do so. Similar to YAG procedures, SLT laser procedures are generally quick and effective in treating glaucoma patients and can boost the day’s overall revenue if added on.

In-office Laser Services.

Surgical Direct Inc gives you the ability to reserve our YAG & SLT lasers separate from your surgical days as well. For Ophthalmic practices that do not have YAG or SLT lasers in office, we provide laser setup and support directly to your office. Our mission is to cater to your needs in this area, eliminating your need to purchase and maintain equipment, while providing high-quality laser treatments for your patients, right in your office.

Surgical Direct Inc provides high-quality lasers.

Surgical Direct provides high-quality Zeiss YAG Lasers and Lumenis SLT Lasers, each accompanied by our high-quality slit lamps, lenses, and height-adjustable tables. These lasers are state-of-the-art, easy to use, and are manufacture maintained. Included in our YAG and SLT services is an optional in-room technician that can assist the surgeon in settings, adjustments, and exposure read-outs.

Our overall goal at Surgical Direct is to partner with ophthalmologists and surgical facilities to help your vision become a reality. We are flexible and supportive to your schedule and needs!

To inquire about our mobile YAG & SLT laser programs, please contact us today.

Surgical Direct Inc is a partner that you can trust and depend on!

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Preparing for Cataract Equipement Failure

Cataract Equipment failure can be a big source of frustration in your OR on surgery day, bringing the potential for surgery cancellations, revenue loss, and unhappy patients and surgeons. Phaco Machines, Phaco Handpieces, Microscopes, and Instruments all play vital roles in surgery and all have the potential for failure. Honestly, it’s inevitable that your OR will experience it at some point. Even if the smallest component of any of the prior mentioned equipment is not fully functional, it can really put a damper on the day.

How do you prepare, making sure that equipment failure does not hinder your surgery day and cause delays or cancellations?

4 ways to be ready for Cataract Equipment Failure.

1) Acquire basic knowledge of how the equipment works.

One of the most valuable tools in dealing with equipment failure is diagnosing the problem.  Knowing what might be causing the issue will help you determine whether it’s a simple issue (ie the tubing line detached from the handpiece or the phaco tip is loose), or a deeper problem (ie the software is malfunctioning). Valuable knowledge of the equipment and how it works can be the difference between a 2 min delay and an entire day of cancellations.

By partnering with Surgical Direct Inc, the pressure on your staff is eliminated! Our knowledgeable and pro-active surgical coordinators play an active role in your OR. Each team member of Surgical Direct Inc. is skilled at resolving equipment failure issues, from diagnosis to solution, to keep the day moving as swiftly as possible.

2) Have backups available and in a designated location.

Having backup supplies and equipment is important to ensure that if an issue arises that cannot be diagnosed and addressed, then backup equipment is available to be substituted for the day. For small items like phaco-tips, tubing packs, and microscope light bulbs, this is a no-brainer. Even having extra peel-packed supplies like lens loaders, and backup instruments in case of contamination is smart. These backup supplies should be located in a designated location in the room for quick access. To take it a step further, having a backup Phaco machine and extra handpieces available (sterilized and ready) on site adds extra confidence to the staff in case deeper technical issues arise.

A partnership with Surgical Direct, means you do not need to purchase or manage stocking backup supplies or equipment. We provide ample amounts of disposable backups as well as equipment backups for every surgery day that you partner with us.

3) Have technical support contact info readily available.

There are times when equipment will fail, and you will not be able to diagnose what’s happening in a timely fashion. If within a few minutes, you cannot decipher what is happening, it’s a good idea to call technical support to try to find answers quickly. Often this contact may be the manufacturer sales representative, etc. Having their contact information close at hand and accessible in order to gain insight quickly can either shed light on a simple solution or be the deciding factor that backup equipment needs to be pulled into the room.

The point is to minimize case downtime as much as possible, and a partnership with Surgical Direct Inc., we provide professional surgical coordinators that will often be able to diagnose and resolve the issue. If the issue constitutes a manufacture service call, our backup equipment is ready to fill in. Additionally, we have excellent relationships with the manufacture vendors and reps and have their contact info ready in case additional support is needed.

4) Have a plan and inform the team.

A detailed plan of action that your surgical team is familiar with will help ensure swift resolve on what to do in case of cataract equipment failure. Training and communication on where backup supplies are kept, general knowledge of instrumentation and terminology, and a contingency plan will help keep everyone on the same page. This will also ease the “panic mode” that can set in when the unexpected happens, keeping everyone calm and on task.

Experience the peace of mind that partnering with Surgical Direct provides, by our customer-centric culture that continually raises the standard of excellent service will help make your cataract program thrive.

Equipment failures happen. We are prepared for the unexpected and that makes the difference when it comes to equipment failures. Partnering with Surgical Direct is the most efficient way for your facility to optimize in this area. Think of the cost savings of supplying backup supplies. Think of the savings on repair costs! Our team provides a deeper level of knowledge, experience, and assurance to the OR that no matter what happens, we help streamline your cataract days successfully and professionally.

Want to know more about Surgical Direct and our services? Check out Why a Cataract Outsourcing Partnership Makes Sense in 2019 to see how Surgical Direct can position your cataract program for growth.

Surgical Direct Inc is a partner that you can trust and depend on!

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Adding a Second OR For Cataracts

In the world of Cataract Surgery, safety is the #1 priority of all OR staff and surgeons during eye-day. In our 20+ years of experience in offering premium Mobile Cataract Services, we’ve realized that a very close #2 priority on eye day is efficiency. Everyone involved (surgeon, staff, and patients) are busy people with things to do, places to go, and people to *see (no pun intended). This makes surgical efficiency a high-priority for cataracts, and one of the best ways to increase your efficiency is adding a second room. However, for many, there are obstacles in the way of achieving the next level of efficiency, and Surgical Direct can make a 2nd room service possible for you and your community.

We have learned the increasing value a surgeon places on a streamlined 2nd room operation in ophthalmology, and by inviting Surgical Direct into your picture, together we can accomplish a larger reach of service to your community. The results are clear! Surgeons are pleased, your staff is supported, and now your facility is maximizing available OR time without costing you more capital.

Adding a Second OR for Cataracts is easy with Surgical Direct.

 

The beauty of partnering with Surgical Direct’s Mobile Cataract Service is that limitations are reduced dramatically and possibilities and options are increased.

 1) We provide double the equipment.

Since the facility no longer needs to purchase Phaco machines, microscopes, and hand-pieces, confining your surgeon to one room is no longer an issue. On 2 room days, we provide all the equipment required for 2 rooms to operate safely and efficiently. This saves the facility upwards of 6 figures in capital investment, maintenance, repairs, and other unexpected costs.

2) We provide double the support.

Having enough equipment to have 2 rooms running doesn’t always make the day more efficient. The team of people that work in the room is what does! Having the right amount of support staff is vital to keep the day moving efficiently. That’s why we provide 1 technician per room on 2 room days. This increases the manpower, technical support, and teamwork in each room so that those 8-15 minutes cases stay 8-15 minutes. We also help with turnover, so that the surgeon can bounce between rooms without waiting. A day that stays on schedule, is a GOOD day!

3) We provide double the supplies.

2 room days typically means a lot of cases. A lot of cases means a lot of supplies. No matter the surgeon and his supply preferences, 12-20 cases in one day calls for a large amount of inventory. Surgical Direct provides all inventory needs for your cataract cases (except for meds). For 2 room days, we fill our cargo vans (sometimes to the roof) with equipment and supplies for a single 2 room day. Think of the shelf space you’ll be saving. Think of the time you’ll be saving in inventory if you didn’t have to order, receive, unpack, and shelf all of that inventory every time the surgeon is scheduled. And since we are on the subject of inventory, we must mention lenses. If the surgeon is doing (eg) 15 cases, you’ll also need about 45 lenses (primary + 2 backup) ready and accounted for before the day starts. With Surgical Direct as a part of your team, you don’t stock case supplies or manage lens consignments. We bring it all with us morning of, and at the end of the day, take all the excess back with us.

So here’s the recap.

Surgical Direct is your partner for all cataract surgical needs for 1 or 2 room days. We provide the latest ophthalmic technology available directly to your OR on surgery day including Phaco machines, microscopes, disposables, lenses, and highly-trained technical support. Surgical Direct is the solution you’ve been looking for to streamline your surgical and operational efficiency. Don’t just take our word for it, read through our testimonials and hear it from our customers.

Interested in finding out more?

Give us a call today at 1-800-346-0544 or email us at sales@surgicaldirectinc.com.

We also offer a Free Demo Day where you can evaluate our services for a day for FREE.

Not in the market for cataract services? Maybe you know someone in your network of surgeons, hospitals, or ASC’s that does. We love referrals!

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3 Vital Components for a Smooth Eye Day

Here at Surgical Direct, we’ve been supporting OR facilities and Ophthalmologists achieve smoother (more efficient) surgery days for nearly 20 years. We’ve picked up a few methods, routines, and systems along the way that can help refine the operations of a cataract surgery day, to be as smooth as possible. Of course, every facility will have its own methods and preferred ways of doing things, and we are always supportive and collaborative. Likewise, surgeons are always in command of the room and have the ultimate say on how things will go. That being said, cataract surgery (and the overall motion of the day) is going to look slightly different in every facility. But there are 3 things that we’ve come to firmly believe in that are the basis a smooth cataract day, no matter the facility.

Here are the 3 absolute necessities for a smooth cataract surgery day. 


1) Reliable, State-of-the-art Equipment

 

There is nothing more frustrating (for staff, surgeon, and patient) than preparing for a big surgery day, only to be met with equipment failures. When equipment fails to work properly, not only does it put the patient at risk (which is the most important factor), but it has the potential to cause unwanted stress over a loss in monthly revenue, rescheduling cases, calling in repairs with service reps, and the unexpected repair costs. When you partner with Surgical Direct,  you significantly lower your risk of letting equipment failure ruin your surgery day. Why? Because at Surgical Direct, we are committed to providing state of the art equipment that works every time. Our equipment is manufacture maintained and surgery ready at all times, but just in case, we also supply backup machines to our accounts on surgery day. If any emergency issue should arise during the day with our equipment (even with our backup equipment), we are ready to run what’s needed to your site as soon as possible to avoid cancellations. You never have to worry about aging equipment again! Plus, you never have to pay for repairs again on cataract equipment.

2) All the right supplies

Having the right supplies ready and organized for each case is vital for the day to run smoothly. Forgetting to pull a certain supply for that special case can slow the case down, which slows your day down. Or there is always the event that your inventory shipment didn’t make it in time and you are low on a needed item. Having all the supplies (included those unexpected backup supplies and instruments) is crucial for a smooth day. When you partner with Surgical Direct,  we take care of all case supplies (including special supplies and lenses) for each of your cases. We always pack extra for the day, in case of contaminations. Plus our technicians are trained to know what the surgeon might need in certain scenarios, and they will be ready to produce that item that no one else in the room has heard of when the doctor requests it.

3) Co-ordinated Teamwork & Turn-over

Teamwork makes the dream work! What makes for a well-oiled cataract surgery machine is everyone in the room knowing their role, doing it well, and keeping a “patient-first” mindset. Who does what during turnover? Do you have enough hands in the room to open sterile supplies, position the bed, prime the machine, and adjust the doctor’s settings? When you partner with Surgical Direct,  you are given a seasoned and knowledgable technician in your room. Our techs are trained to be team players, helping the day move along however they can. From opening sterile supplies, cleaning handpieces, adjusting the doctor’s settings for him, taking out the trash, producing one-off supplies the doctor is asking for, and much more…..our technicians are what make Surgical Direct shine!


Surgical Direct provides a mobile cataract service that saves you time, money, space, and stress.

It really is simple. Surgical Direct will provide the latest cataract equipment to your facility when you need it (just for surgery day – even for 2 rooms days) so you don’t have to spend your capital on cataract equipment. Our equipment is manufacture maintained and routinely serviced with the same service contracts you would have if it were in your facility. We always provide a backup machine in case of equipment failure (because it does happen), and when it does, we pay for the repairs. We provide adequate handpiece volume for your surgery day caseload so surgeries can move along at a normal pace (even with today’s sterilization standards). We provide all the inventory you’ll need for surgery…including case supplies (drapes, blades, cannulas, viscoelastics, etc), instruments, lenses, and those rarely used backup supplies (excluding pre and post-op meds). And all of this comes at a per-case price that is only a percentage of your facility’s cataract reimbursement. OH, and did we mention no long-term contracts?

2019 is the year that you can upgrade your equipment without spending a dollar of capital and save money and time on inventory management. Read more about Why Cataract Outsourcing Makes Sense in 2019

Call us anytime with your questions! Or you can try our services first hand for FREE. Sign up for our Free Demo Day and experience Surgical Direct first hand at no charge. (see demo day page for full details).

 

How much are cataracts really costing you?

When purchasing cataract equipment (phaco machines and ophthalmic microscopes), not only do you have to take into consideration the initial cost but also the long-term expense it will take to keep your equipment maintained and surgery-ready. On top of that, cataract costs can go even deeper into your profit margins when managing your own inventory (case supplies, lenses, and special instruments like tonic markers and CTR inserters). Did you know that partnering with Surgical Direct can dramatically lower how much cataracts cost your facility?  What is the real cost of owning cataract equipment? Let us break it down for you…

What’s the real cost of owning cataract equipment and managing your own supplies?

1) Initial Capital

Easily the highest expense of owning cataract equipment is purchasing it. Purchasing cataract equipment (phaco machines, handpieces, and microscopes) can easily cost your facility over 6 figures in capital expenditure to be ready to facilitate cataract surgery (and if you are considering having 2 rooms operational for cataracts, double that figure). That’s no small dent. But the real challenge in the ophthalmic specialty is keeping up with how quickly new technology is released. Software upgrades typically are released annually which cost you to upgrade. On average, manufacturers release new phaco platforms every 7-10 years, meaning that you may need to re-invest in new technology on that timeframe. Ophthalmology is one of the most rapidly advanced specialties in the medical field.

2) Repairs and Preventative Maintenance

If you purchase cataract equipment for your facility, you must take into consideration the cost of maintaining your equipment. Phaco machine service contracts with manufacturers can cost an average of 5-7k per year (in a multiple year contract). And that’s just 1 phaco machine PM plan. Now let’s talk about repairs. Here’s a list of the most common phaco issues concerning repairs:

  • Phaco Foot Switch (3-5k)
  • Phaco handpiece failures (2-4k)
  • IV pole malfunctions (2-4k)
  • Fluidics hardware malfunctions (3k+)

These are average prices and the most common issues you’ll see from our experience. While still on the topic of phaco repairs, we also have to mention the loss of business and costs that correlate if your surgery day is halted or canceled by equipment failure. Not only will your facility lose revenue due to canceling surgery, but it’s a major hassle to reschedule patients, coordinate special service calls, and so on. 

3) Case Supply Waste, Lens Management, & Shipping Costs

If you manage your own case supply inventory at your facility, you’ll know that there is almost always some percentage of loss you’ll experience (from expirations to contaminations to damages). With cataract supplies, you may also know that there are specialty items necessary to have on hand just in case the surgeon might need them. Items like Capsular Tension Rings, Malyugin Rings, Iris Hooks, and Vitrectors (just to name a few) are items that need to be available if the surgeon asks for them. Some of these items are so rarely used, that they often expire on your shelf before they are used, which is a loss in your inventory. And of course, because of the nature of these supplies, they tend to be the most expensive of the cataract case supplies that you’ll order.

Managing your own lens consignments can cost you a significant amount of time and money between processing orders and reorders, shipping charges, special orders, restocking, etc. We also cannot forget to mention all the shipping costs that you will pay for all inventory items including lenses, regular supplies, overnight charges for last minute orders, and instrument repairs. Shipping costs on supplies and lenses can be significant over time.

4) Time & Space

Think for a moment of all the time that’s invested in preparing for cataract day. Ordering inventory, stocking supplies, pulling case supplies for surgery, managing multiple vendor PO’s, custom ordering specialty lenses, reordering and restocking used lenses; the list goes on…and that’s just for a normal day when nothing goes wrong! What about when a machine goes down? Patients have to be rescheduled and surgery needs to be re-coordinated with the surgeon. If transportation is involved for patients, that needs to be re-arranged. Service calls with the manufacturer need to be coordinated, arranged, invoiced, and paid. All of this is time that you (or someone on your staff) is taking out of their week to manage. When it comes to space, many surgical locations are limited in storage space. Cataract equipment and case supplies can eat up 200-400 sq ft of your precious storage space.

Surgical Direct provides a mobile cataract service that saves you time, money, space, and stress.

It really is simple. Surgical Direct will provide the latest cataract equipment to your facility when you need it (just for surgery day – even for 2 rooms days) so you don’t have to spend your capital on cataract equipment. Our equipment is manufacture maintained and routinely serviced with the same service contracts you would have if it were in your facility. We always provide a backup machine in case of equipment failure (because it does happen), and when it does, we pay for the repairs. We provide adequate handpiece volume for your surgery day caseload so surgeries can move along at a normal pace (even with today’s sterilization standards). We provide all the inventory you’ll need for surgery…including case supplies (drapes, blades, cannulas, viscoelastics, etc), instruments, lenses, and those rarely used backup supplies (excluding pre and post-op meds). And all of this comes at a per-case price that is only a percentage of your facility’s cataract reimbursement. OH, and did we mention no long-term contracts?

2019 is the year that you can upgrade your equipment without spending a dollar in capital and save money and time on inventory management.

Check out our post about 5 Headaches Eliminated with Mobile Cataract Services to see how Surgical Direct can help alleviate your cataract surgery woes.

Call us anytime with your questions! Or you can try our services first hand for FREE. Sign up for our Free Demo Day and experience Surgical Direct first hand at no charge. (see demo day page for full details).

2019 Cataract Surgery Trends

Happy Holidays from all of us at Surgical Direct!

It’s that time of year where we all begin to think about the year ahead and all that it holds. We’d like to take the opportunity to give you a shortlist of advancements and trends that we feel will be become more prevalent in 2019 in cataract surgery. Our job isn’t to sell products, but to be a resource of information and knowledge. We don’t have any agenda. This is just our opinion of what you’ll see more of in 2019 in cataract surgery.  Let’s jump right in!

Here’s our 2019 Cataract Surgery Trends short-list.

1) Premium IOLs

 

a) MultiFocal & Toric IOLS

Premium lenses are becoming more and more popular with surgeons and patients. We feel that there will be an increase in volume that these IOLs are implanted in 2019. Not only are these lenses being improved upon in quality and accuracy, but new science and technology is being added to them seemingly every year. And with the latest addition to the premium IOL industry with Toric/Multifocal (2in1) lenses, patient satisfaction and scoring higher and vision outcomes better as these developments are made. So, we feel in 2019 you’ll see more premium lenses added to your surgery days.

b) Adjustable IOLS

There is a new technology on the market as of early 2018 called the “adjustable IOL”. This is a lens that is implanted with a diopter size (similar to a normal IOL). The difference is that 2 weeks post-op, the surgeon can adjust the diopter of the IOL to attain 20/20 vision, non-surgically! The IOL uses a proprietary photo reactive silicone material. If the patient is not 20/20 at the post-op vision test, the IOL power can be changed by a 1-2 minute exposure of a low-intensity beam of ultraviolet light (delivered by a specialized machine) to change the shape of the lens according to the patient’s prescription. FDA studies show that twice the number of patients are able to ditch glasses and have 20/20 vision after cataract surgery using this technology. Read more about the lens here.

The lens hasn’t caught on yet in large volumes, primarily due to lack of exposure. Any new technology naturally takes time to gain momentum. But our opinion is that we may see and hear more about this lens in 2019. In fact, many believe that it’s only a matter of time before the Adjustable IOL becomes one of the most disruptive and innovative technologies to hit cataract and refractive surgery in recent years.

2) Disposable Instruments

 

In many ways, the name of the game in cataract surgery is efficiency. Of course, patients and their health always come first! But it’s always been a drive in the refractive and cataract surgery market to make things more efficient. With more and more regulations being enforced on sterilization standards over the last years, there has been a big push and increase in disposable instruments. Many of the major players (such as Alcon and B+L) have already started with disposable IA handles, phaco sleeves, tubing, cannulas, etc. But we feel this trend is going to go deeper in this direction in 2019, possibly even into secondary instruments such as forceps and hooks regularly used per case. Companies like MST and BVI are already mass-marketing these disposable instruments. Will reusable instruments go away in 2019? Not at all likely. But we feel we will begin to see more incorporation of disposable instrumentation.

3) Phaco & Microscope Developments

The biggest news in the phaco market is the recent release of the B&L Stellaris Elite, with its Adaptive Fluidics TM and Attune® Energy. The Stellaris Elite also offers compatibility for both posterior and anterior segment procedures, which causes it to stand alone as a viable option for cataracts & retina. Alcon’s Centurion phaco platform is a still a viable player in the phaco market. There have been inklings of new updates to this machine (or a new Alcon machine on the horizon), but nothing official has been announced beyond speculation. Abbott (what used to be AMO – creator of the WhiteStar Phaco system) was acquired last year by Johnson & Johnson. With new financial backing, maybe there will be an announcement of development there? Per usual, during the annual AAO conference is typically when announcements will be made on new technology that is being developed or released. We’ll be sure the publish another article after the AAO on what is in the pipeline in this area.

And of course, every year now we get further and further into the era of baby boomers coming into cataract surgery range. This means that in the next years, we are going to see a huge influx of cataract needs in the US. We believe it’s so important to have a trusted partner in cataract surgery. That is our goal at Surgical Direct.

Surgical Direct Inc provides the latest cataract technology to your facility for $0 of capital investment.

We provide tailored equipment and supply lists for the surgeon’s specific needs, including the desire to try new technology as it comes out. With Surgical Direct, you get a safer, more efficient cataract experience in your facility. Don’t believe us? Read through our testimonials to see what our customers are saying about our services.

Interested in learning more about what we offer? Visit our Mobile Cataract Services page to find out more about what we do. Have a more pressing question or need? Call us directly at 1-800-346-0544.

5 Headaches Eliminated with Mobile Cataract Services

As with every surgical procedure, Cataract Surgery comes with a fair share of preparation, work, and readiness in order to have a smooth day with good outcomes. Whether you use Mobile Cataract Services or not, preparation is essential for a smooth “eye day”. Pre-operatively, there are supplies to be ordered and pulled, lenses to be picked, equipment to be checked, and the room made ready. Intra-operatively, equipment has to be calibrated properly for every case, machine settings adjusted for difficult cases, room turnover has to be timely, and back up supplies/lenses ready and available on standby in case they are needed. Post-operatively, the equipment has to be cleaned according to manufactures standards, supplies have to be re-ordered for the next surgery day, and not to mention all of the paperwork!

All the preparation and energy mentioned above are standard for cataract surgical cases. But what happens when you have a difficult case, an equipment failure, or an instrument come back broken after a case? Your work (and time) has likely just doubled! These are what we call “headaches”. We call them headaches because we have found that many surgical facilities that are not an “Ophthalmic-only Surgery Center” struggle with keeping up with all the details that encompass Eye Day.

So, how can Mobile Cataract Services help eliminate these headaches?

Let’s look at 6 “headaches” that have the potential to be eliminated using Surgical Direct’s Mobile Cataract Services.

1) Never-ending Inventory

Routine Supplies: Cataract Surgery is generally a very successful and routine surgical procedure. A skilled surgeon can perform 10-20+ surgeries a day depending on his/her level of skill. High volume surgeons require large amounts of inventory to get through their surgery day due to the number of cases they perform. It’s also vital to have back-ups of everything in case contaminations occur. Standard case supplies such as blades, drapes, cannulas, BSS, viscoelastic, lenses, and instruments are needed every case and can total up to 30+ items per case. Each surgeon has their preference for supplies, brands, and specialty instruments. If you have more than one surgeon operating in your facility, the inventory list can become rather large, and each can be drastically different in spec from the other.

Specialty Supplies: In Cataract Surgery, there are rarely-used specialty items that a surgeon may call for from time to time in certain situations. A number of these items are so rarely used that it is possible if not likely that they will expire on the shelf before they are used. However, if you do not have these items on-hand when they are needed, it can be detrimental to that patient’s vision. Keeping the items on hand can be frustrating and expensive, and often results in a loss.

Lens Consignments: There is a lot of time and energy that must go into managing a lens consignment. In most cases, a surgeon will require 2 or 3 different lenses on hand for each patient, requiring the management of up to 3 consignments. And if you have multiple surgeons operating at your facility, that number could increase based on their preferences. On top of that, specialty lenses like Toric and Multifocal models are becoming popular, but a surgeon’s volume in that particular lens model may not be enough for you to receive a full consignment. This means that each specialty lens must be ordered separately and arrive in time for surgery.

Surgical Direct’s Mobile Services has the potential to eliminate all the inventory headaches. We bring tailored surgeon-specific supply lists, specialty items, and backup supplies into your facility on surgery day, including lenses. This inventory will never touch your shelves and are climate controlled in our clean storage facility. You will not have to deal with ordering supplies, replenishing lens consignments, or stocking your shelves with eye supplies again.

2) Limited Storage Space

As mentioned above, Cataract supplies (especially with high-volume surgeons) can equate to a lot of inventory. This can also equate to a lot of space used up on your shelves. We can attest first hand that not all surgical facilities have adequate amounts of storage space for all the inventory that is needed. Including inventory, the surgical equipment must be stored when not in use. After being in hundreds of surgical facilities, we know that finding a few square feet to store a microscope can be a challenge. Also, take into account that an Ophthalmologist may only operate in your facility 1-2 times per month. This means that all of his inventory and equipment uses up valuable space in your facility for 28 days a month. It just sits there!

In our Mobile Cataract Service model, Surgical Direct brings all equipment and supplies into your facility on the day of surgery. This eliminates the storage space “headache” from the equation, freeing up loads of shelf and floor space in your storage rooms.

3) Equipment Failure & Repairs

Now this one is a major headache. It’s a surgical staff’s worst nightmare to have equipment failure. Every other detail in the day could be running as smoothly as possible, and then everything comes to a standstill when the Phaco Machine alerts an error message. Or the Phaco Handpiece will not pass its pre-surgery test. Or there is a problem with the Microscope and the surgeon cannot bring it into focus. What do you do? How do you fix it? Malfunctions like this can easily cause cancellations and frustration for staff, surgeon, and patients alike.

When you use Surgical Direct, you gain a qualified, well-trained technician on surgery day. Our technicians bring the equipment to your facility and ensure that all the equipment is working efficiently throughout the day. If an equipment failure should occur, our technicians are trained to diagnose the problem and provide solutions to fix it. If the problem is deeper and cannot be addressed on site, it’s our policy to always have a backup machine on-hand in case of such situations so that the day can keep moving forward as planned.

4) Staffing and Training Holes

Adequately staffing the room on eye day is an important key to having a smooth and timely cataract day. Circulators and scrub technicians already have their hands full of requirements and tasks throughout the case. In our experience, it is very effective to have another person in the room each case, that can help with the machine, supply-runs, turnover, and opening extra supplies. The headache lies in that many facilities do not have staffing for an “extra hand” in the room, especially on a busy day in the OR. Having someone well-trained in the technique of opening sterile supplies is very helpful. An added benefit would be to have someone who is well-versed in the equipment and how it works, able to make machine adjustments for the surgeon on request, and troubleshoot problems.

This is where we come in. As mentioned, Surgical Direct’s Mobile Cataract Services provides a technician that can provide all of the above. Our technicians are trained in Aseptic technique annually, trained how to open sterile supplies, adjust equipment settings, and provide outstanding support. On top of that, they are friendly, alert, and ready to help wherever needed. Our technicians truly are the difference in our service model vs other services and will bring a whole new level of comfort and ease into the OR.

5) Surgery Day Anxiety

Anxiety has a way of affecting our performance. When under stress, we react to situations in ways we normally would not react. The 4 previous headaches discussed in this article are common areas that we have encountered frustration amongst Hospital and ASC administrators and staff members. It’s the culmination of all of these put together that bring “Surgery Day Anxiety”. We believe that our Mobile Cataract Services can bring your surgery day anxiety down to 0, for your staff and for the surgeon. Time and time again, we are told by our customers that Eye Day is no longer a source of anxiety, but is enjoyable, smooth, and a good day.

Surgical Direct exists to serve you!

Are you considering a Mobile Cataract Service for your hospital or ASC? Are you a surgeon who knows of a similar situation in a facility as described in this article? Please reach out to us in the comments below and tell us about your “Surgery Day Anxiety”.

Perhaps we can help be the solution.