Introduction

Thousands of surgeries are being performed in the U.S. everyday.

Patients undergoing surgeries

under Anesthesia are at risk

for nerve and bodily injuries.

Purposes of OP-Sheet™

A simple product to prepare O.R. bed.

Extra protection to the patient’s extremities undergoing surgeries.

To secure access to I.V. ports for anesthesiologists.

An easier means of transferring

the patient laterally.

Facts of Nerve Injuries During Surgeries

Peripheral nerve injuries and brachial plexopathy are common.

Ulnar nerve is most frequently affected among these injuries accounting for

33% of all nerve damages.

The true incidence of nerve

injury during general anesthesia

remains unclear and probably is

underestimated.

Strategies for preventingPeripheral Nerve Injuries

Padding of Extremities.

Neutral position of palms.

Avoid elbow pressing on the edge of O.R.

table

Current system ( bed is poorly prepared)

Current System

Current system ( arms are insecurely tucked)

Possible bunched-up at the axilla

Introducing OP-Sheet™

Operating Room Bed Sheet with Arm Protection

OP-Sheet™How bed is made with OP-Sheet™

Buckles (X4) to secure sheet to O.R. bed

Double layer sheet with water-proofLower layer

Fitted ends

Buckles (x4) secure OP-Sheet™ to bed

O.R. bed is prepared with OP-Sheet™

Straps for I.V. access

straps for I.V. access

Shoulder line

Handles for lateral transport

Leg straps

Pockets for suction tip and tubing

PATENTED DOUBLE-FASTENING SYSTEM

Arm pad

Upper layer with velcro straps.

PATENTED DOUBLE-FASTENING SYSTEM

Arms and hands are positioned between the two layers of double- fastening system

Double-fastening system

Arms and hands are securely tucked with double-fastening system

Legs are also securely strapped

Fasteners for I.V. access ports and pockets for suction tip and tubing

Patient with arms and hands securely tucked

Double-fastening system advantages:

No need to have two nurses

to tuck the patient’s arms.

No need to look for and to use clumsy gel pads. ( requires two nurses)

Arms and hands are securely tucked and slightly lifted-up OFF the O.R. bed without any pressure on the ulnar areas.

Pads provide additional insulation.

Arms and hands are in neutral position with less I.V. indentation on the patient’s arms.

COMPETITIONHovermatt™ single patient use

Advantages:

- Powerful, portable air supply

provides rapid inflation.

-Reduce cross contamination.

-Easy lateral transport of patient from bed to bed

Disadvantages:

-High cost to the hospital. ($80 PER SHEET)

-Requires an air supply source

-Nerve injury and artery occlusion risks are still present when arms are being tucked by patient’s sides.

Current systemThe current O.R. bed sheet offers:

Advantages:

-low cost of reusable sheets.

Disadvantages:

-Reprocessing (laundry) cost and logistics can be expensive.

-Poorly made O.R. bed.

-Possible crossed contamination.

-Insecured arm positioning when tucked

-Risks of nerve injury and axillary artery occlusion due to

bunching at the axilla.

Market Description for OP-Sheet™

The target market for the OP-Sheet™ includes hospitals, O.R. staff, Anesthesiologists, and Surgeons.

The additional support could potentially be gained from the following organizations:

The Center for Disease Control (CDC)

The Occupational Safety and Health Administration ( OSHA)

The American Hospital Association (AHA)

The American Operating Room Nurses (AORN)

The American Society of Anesthesiologist (ASA)

Marketing Plan for OP-Sheet™

Market size and trend:

The target market for the OP-Sheet™ is potentially huge.

There are about 40 to 45 million surgeries, elective and emergent, performed in the U.S. every year. Of those surgeries, about 30 to 40% would require patient’s arms be tucked to the sides.

Initial focus should be gaining support from the operating room nurses, anesthesiologists and hospitals.

Being first on the market, OP-Sheet™ will capture lion share of the market in the U.S.

Market size and trend (cont.)

These figures represent a total potential market in the U.S. alone, in which capturing even a reasonably small percentage, for example 10%, represents a major opportunity.

We believe that these estimate to be conservative and a goal of 10% market penetration within the next 2 years is reasonable. At the same time, strategic planning for potential international market for our long term goal.

THE NUMBERS

The cost of manufacturing/packaging and potential sale and profits for the OP-Sheet™, based on 45 million surgeries a year should look like this:

Cost of manufacturing: $25 each.

Sale of OP-Sheet™ to distributors: $50 each.

Sale to hospital: $80 each.

Potential sale : $900 million.

Potential profit: $900 million.

Market BarrierWith many benefits the OP-Sheet™ has to offer:

-Ease of preparing the O.R. bed,

-Secured protection for the extremities,

-I.V. access fasteners, and

-Ease for lateral transport of patient,

it should pose little difficulty to convince the management and the nursing staff to add the OP-Sheet™ to their O.R. supply.

Market ReadinessData from the American Society of Anesthesiologists (ASA)

closed claims project continues to indicate that severe anesthesia-related injuries such as death and brain damage are becoming less frequent. This is NOT the case, however, with anesthesia-related peri-operative nerve injuries.

“ Cheney FW: peri-operative ulnar nerve injury.”

ASA newsletter 62(6): 10-11-1998.

“IT IS ABOUT TIME TO REPLACE THE CURRENT O.R. BEDDING WITH THE OP-SHEET™. OUR PATIENTS DO DESERVE THE BEST.”

Brandon Giap, M.D.