These hands performed
221 brain surgeries 2015
David Revez, Neurosurgeon

Biogel Indicator System®

®

Why double-glove?

‘I always double-glove, and have fromthe very beginning. It’s never been achallenge to work this way.’
David Revez, Neurosurgeon

You give your all every day.
You deserve all theprotection you can get.
Your hands help to heal and save lives every day.
Shouldn’t they be protected too? At Mölnlycke®, we thinkso. Double-gloving is a smart, easy and effective way toprevent avoidable injuries. And exposure to dangerous –and costly – contamination and infection. What if doublegloving was standard practice for you and the entire teamin the operating room (OR)?

‘I handle sharp instruments every day, and I don’t always
know if the patient has a blood-borne illness. I doubleglove because exposure is a risk I shouldn’t have to take.’
Hanna Grimber, OR Nurse

71%
2

A 2014 Cochrane Review
concludes that double-gloving
reduces the risk of an innerglove
perforation by 71% comparedto single gloving1

65%

Using double-gloves reduces therisk of blood contamination by
65%, compared to single gloves1

An estimated 384,000 needlestick injuries occur in the U.S. every year2,and up to 1 million in Europe3. What if everyone double-gloved?
Did you know new virulent species are emerging?
We understand how this adds to the pressureof improving occupational safety and controlling
costs. And preventing hospital-acquired infections(HAIs) is now a higher priority than ever. We’ve
heard how authorities are responding to thesechallenges, to promote a safer work environment
for you and your colleagues. The Centers for
Disease Control and Prevention (CDC)4,

International College of Surgeons (ICS)5,
Association of Peri Operative Registered Nurses(AORN)6 and American College of Surgeons (ACS)7,
all now recommend double-gloving for invasivesurgeries. Plus further evidence supports making
double-gloving standard for all surgical procedures– not just high risk cases8.

3Why Biogel?

How thesystem works‘These hands areessential to her, notjust as a nurse but
as a mother too.’

The Biogel® puncture indicator system is made up of adark-coloured underglove and a straw-coloured overglove.
Normally, the overglove blocks out most of the underglove’s colour.
When fluid gets between the two layers, light passes through theoverglove and reveals the underglove.

Protection you
can see
Detect punctures easily
with the proven Biogel
Indicator System:

See what confdence feels like
You and your patients can feel better knowing that the puncture indications ofthe Biogel® Indicator® System are clear9, fast9 and large9. Immediate detectionmeans safety for you and for the patient. Just as important, the gloves arecomfortable and easy to put on and take off.

Clear9 – The inner glove colourphysics are purposeful, selected totrigger sensitivity in the human eye‘To clinicians who don’t
double-glove, I say, ‘Do it!’
It’s such a simple way
to protect yourself andeveryone else.’
Julie Karlsson, Trauma Nurse

Fast9 – The glove design highlights
the puncture spot immediately andthe visible indication grows quickly
Large9 – The indication spot grows
large so you can see it quickly – andso others can see it from a distance97%
4The Biogel puncture indicatorsystem detects up to 97% ofpunctures1090%

A 2014 Cochrane review concludes
that indicator gloves reduce inner­
glove perforations by 90% compared
to standard double-gloves1

5

Performance85%‘To someone who’s concerned thatdouble-gloving could reduce feeling,
I’d say any loss is insignifcant. Especiallycompared to what you gain in safety, foryou and the patient. And that feels great’
Dr. David Revez

In a user evaluation, 85% of
OR staff preferred the newBiogel PI Micro Indicator12

2 DAYSTO ADAPT

Most surgeons and physicians
fully adapt to double-glovingwithin just two days13

New Biogel® PI Micro –for extra tactile sensitivity
Biogel PI Micro is the brand new addition
to the Biogel range. It’s 20% thinner than
Biogel PI UltraTouch® – so you can enjoy
even more tactile sensitivity. Our newgloves are powder-free, sterile andsynthetic – to eliminate allergies – but
the ft, feel and comfort is just as niceas natural rubber latex. As always,
Biogel puncture indication technology
delivers proven protection you can trust.

Biogel PI Micro Indicator system gives signifcantly more vivid indication thanother synthetic double-gloving combinations9.

‘I notice a small difference in tactile
sensitivity, but there’s no question.
I much prefer double gloving tosingle gloving.’
Mikael Barbu,Junior Doctor in Thoracic Surgery

What if you could have protection you trust
and the tactile sensitivity you need?
You can. Safety is a priority, but that doesn’t mean you have to compromise
your ability to perform. An interview with 53 surgeons found no difference
in dexterity or sensation between wearing no gloves, single gloves ordouble-gloves11.

67

Health economics

Double-gloving with Biogel® is an effective cost-effcientway to reduce risk for you and your patients.
Occupational exposure costs
In the USIn Europe

Did you know it costs an average of USD 2,456 to address astaff exposure to a HIV-infected patient15? And on average
USD 650 to manage an exposure to a patient with hepatitis
C virus15?

Costs add up quickly in Europe too. In Spain, for example,
the cost to manage an occupational exposure ranges from
EUR 172 (if the source patient is negative for hepatitis B andC and HIV)16 up to EUR 1502 (if the source patient is positivefor hepatitis C and HIV) 16.

Patient exposures
Problem: SSIs can increase hospital costs by 61%

Solution: 50% reduction in infections

SSIs can double the average length of a post-op hospital
stay (an average additional 16.8 days)16 and require an extra
7.4 days of antibiotic therapy16. This means a 61% averageincrease in SSI-related hospital costs14.

In a study of cerebrospinal fluid shunt surgery, doublegloving showed a 50% reduction in infections of the shunt,compared with single-gloving17.

‘After my brain, my hands are themost important part of my body.
Without them I can’t do anything.
They translate my thoughts
into action.’
Yasser Abdalla, Neurosurgeon

Small investment.
Big return.
What costs more? The relatively low cost of double-gloving, ordealing with staff and patient exposure to infection? Imagine
the total cost if you or a colleague had to undergo expensive
testing or prophylactic treatment. And for your patients, asurgical site infection could double the length of their hospital
stay and require an extra week of antibiotic therapy14.
8‘It's simple, really. Doublegloving is about security forthe staff, the patient and thehospital. Cost should neverdetermine whether you
double-glove.’
Julie Karlsson, Trauma Nurse

9Biogel® Indicator® System‘If you make double-gloving routine,
you’re less likely to forget to do it when
the work gets hectic.’

NEWHillevi Björkqvist, General Nurse,
specialising in surgery

Clinicians value Biogel• Clear, fast and large puncture-indication system9• Every glove (100%) is air inflation tested for holes typically notdetected in a visual inspection18• Reduced chance of a hole with an industry-leading AQL result of 0.65
– competitor gloves are more likely to have a hole out of the pack18• The only major surgical glove brand with a non-pyrogenic range*– reduces potential of fever, inflammation and other reactions

How can we help you?
Our surgical sales specialists make startingyour double-gloving policy seamless andworry-free. They’ll work with you to matchthe right material, features and size to yourexact needs.
Our clinical nurse specialists are there
to offer support with evaluations andeducational programs. They can also

• Biogel gloves have been exclusively powder-free for morethan 20 years

provide you with guidance on important
healthcare topics such as infection
prevention, recommended practices
and the proper use of surgical gloves.
Our team will even help increase OR
effciency and safety through educationon correct glove use, glove standardisationand synthetic alternatives.
* Pyrogenicity: each batch of Biogel gloves is tested to have a low endotoxin level (<20 EU/pair)1011

Proving it every day
At Mölnlycke, we deliver innovative solutions for managing
wounds, improving surgical safety and effciency and preventingpressure ulcers. Solutions that help achieve better outcomes
and are backed by clinical and health-economics evidence.
In everything we do, we are guided by a single purpose: to help
healthcare professionals perform at their best. And we’recommitted to proving it every day.

Referenses: 1. Mischke C, Verbeek JH, Saarto A, Lavoie MC, PahwaM, Ijaz S. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane
Database of Systematic Reviews 2014, Issue 3. Art. No.: CD009573. DOI: 10.1002/14651858.CD009573.pub2. 2. American Nurses Association. Safe Needles Save Lives Fact Sheet. 2010. 3. Himmelreich H,Rabenau HF, Rindermann M, Stephan C, Bickel M, Marzi I, Wicker S. The Management of Needlestick Injuries. Dtsch Arztebl Int 2013; 110(5): 61–7. DOI: 10.3238/arztebl.2013.0061 4. Mangram AJ, Horan TC,Pearson ML, Silver LC, Jarvis WR, The Hospital Infection Control Practices Advisory Committee. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention: InfectionControl and Hospital Epidemiology, 1999 April, 20(4):247-278. 5. Childs, T. Use of Double Gloving to Reduce Surgical Personnel’s Risk of Exposure to Bloodborne Pathogens: An Integrative Review. AORNJ. 2013 Dec; 98(6): 3 6. International College of Surgeons. European Section News Release [Internet]. 2015 Oct 9. Available from: https://www.icsglobal.org/members/sections/mem_sect_news_europe.
asp 7. American College of Surgeons. Statement on Sharps Safety [Internet]. 1 Oct 2007. Available from: https://www.facs.org/about-acs/statements/58-sharps-safety 8. Thomas-Copeland, J. Do SurgicalPersonnel Really Need to Double-Glove? AORN J 89. 2009: 322-32 9. MHC on fle Report no. 887. 10. Wigmore SJ & Rainey JB, BJS 1994: 81: 1480. 11. Fry DE, Harris WE, Kohnke EN, Twomey CL. Influenceof double-gloving on manual dexterity and tactile sensation of surgeons. American College of Surgeons. 2010;1–6. 12. Data on fle, MHC. 13. Walczak DA, Pawelczak D, Grobelski B, Pasieka Z. Surgicalgloves – do they really protect us? Pol Przegl Chir. 2014;86(5):238-43. doi: 10.2478/pjs-2014-0042. 14. Junker T, Mujagic E, Hoffmann H, Rosenthal R, Misteli H, Zwahlen M, Oertli D, Tschudin-Sutter S, Wid­
mer AF, Marti WR, Weber WP. Prevention and control of surgical site infections: review of the Basel Cohort Study. Swiss Med Wkly. 2012 Sep 4;142:w13616. 15. O’Malley EM, Douglas RS, Gayle J, Dekutoski J,Foltzer M, Lundstrom TS, Welbel S, Chiarello LA, Panlilio AL. Costs of Management of Occupational Exposures to Blood and Body Fluids. Infection Control and Hospital Epidemiology. 2007 July. Vol. 28, No.
7 pp. 774-782. 16. Solano VM, Hernández MJ, Montes FJ, Arribas JL. Actualización del coste de las inoculaciones accidentals en el personal sanitario hospitalario. Gac Sanit. 2005;19(1):29-35. 17. Tulipan N,Cleves MA. Effect of an intraoperative double-gloving strategy on the incidence of cerebrospinal fluid shunt infection. J Neurosurg. 2006 Jan;104(1 Suppl):5-8. 18. Data on fle MKT004

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