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Dabir® Surface System

  • Dynamic alternating air pressure for tissue offloading to help prevent pressure injuries
  • Adjustable cycle rate and firmness control
  • Compatible with ICU beds and OR tables
  • X-Ray translucent

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Description

The Dabir Surface system utilizes a pressure filled overlay and acts like an alternating air pressure mattress. It is placed over the top of the surgical table pad or Intensive Care Unit (ICU) bed surface and is connected to a regulated air pump controller. The system’s low-profile overlay surface is comprised of rows of geometric air-filled nodes that alternate by inflating and deflating to provide tissue offloading. This allows tissue reperfusion to occur thereby reducing the risk of pressure injuries.

How the Dabir Surface System Works

Dabir surfaces are engineered with small nodal geometry to minimize the problematic effects of immersion to promote healthy tissue perfusion and prevent pressure injury. The nodal geometry of the surface is designed to be small in scale. By minimizing the distance between areas of patient contact with the surface, skin stretch during alternating support immersion is reduced. This effectively addresses the number one factor associated with pressure injury formation: SKIN SHEAR.

How it Works

Why Dabir Surface System

  • Tissue Perfusion vs Pressure Management: Typical pressure management products work by distributing tissue pressure as broadly as possible over the most surface area thereby reducing the peak pressures to an acceptable level. The Dabir Surface System is not a pressure management product in this sense, Instead, the product uses alternating air pressure to allow blood to flow (perfuse) back into the tissues on the deflated channel. Clinical studies have shown positive results that tissue perfusing is a better technology than pressure management.

  • Minimal Patient Repositioning Needed (for Pressure Management): The Dabir Surface will change the way nurses interact with patients and will simplify workflows around patient positioning by reducing the need to reposition patients to avoid pressure injury. This is especially helpful when repositioning of the patient is not an option. The same applies in the ICU.

  • Reduces Risk of Pressure Injuries: Dabir Surgical Systems are well suited for patients undergoing surgical procedures exceeding 2 hours to prevent pressure injury (decubitus ulcers), or critically ill patients spending extended amounts of time in Intensive Care Units. ICU & Perioperative teams now have an effective solution for protecting patients at risk for pressure injury. The Dabir Surgical System has been shown in neurosurgery patients to lower hospital-acquired pressure injuries.

  • Reduces Cost of Pressure Injuries: ICU & Perioperative teams now have an effective solution for protecting patients at risk for pressure injury. The Dabir Surgical System has been shown in neurosurgery patients to lower hospital-acquired pressure injuries.

MORE EFFECTIVE THAN STANDARD PROTOCOL:

The AP support surface was more effective at increasing sacral SBF over time than standard protocols, especially in participants with lower BMI who are at high risk for developing hospital-acquired pressure injury (HAPI). The tissue decompression observed during the deflation cycles may allow enhanced perfusion thus limiting risk for developing PIs from ischemia and constant loading.

OUTPERFORMS SACRAL DRESSINGS:

In lab testing, use of sacral dressing did not decrease interface pressure compared to OR pad alone condition. Use of the active Dabir surface lowered the IP values at the sacrum to less than 32 mmHg during the deflation cycles. The presence of the multiple layers in the sacral dressing did not decrease the IP values at the skin interface. IP values lower than 32mmHg is usually recommended to prevent occlusion of blood flow in the capillaries.

Interface Pressure at Sacrum bar chart

COMPATIBLE WITH COMMONLY USED GROUNDING PADS:

The effectiveness of electrosurgical procedures is dependent on having sufficient contact area between the patient and the grounding pad. Test data show that Dabir surfaces are compatible with popular commercially available grounding pads and provide effective periodic pressure reduction throughout the surgical duration.

DISPOSABLE PATIENT TRANSFER SURFACES:

Internal data demonstrated that the Dabir surgical surface is compatible with popular patient transfer devices when it is placed above the Dabir surface. The data also shows that the interface pressure during the deflation cycles of the Dabir surface is significantly lower than the continuous pressure observed with the patient transfer surface alone. Patient transfer surface should be deflated when the Dabir surface is used.

WHEN REPOSITIONING IS NOT AN OPTION:

In the perioperative setting, patients can be exposed to the cumulative effects of pressure beginning in pre-op through the intra-operative phase and into the PACU and ICU. It has been reported that 23% of all HAPIs are acquired intra-operatively during surgeries lasting three hours or more.3 Cardiac surgery patients are particularly at risk due to prolonged periods of time without the ability to reposition.4,5

THE HAPI’s BURDEN TO THE HEALTHCARE SYSTEM:

In the United States, approximately 2.5 million hospital acquired pressure injuries occur each year that translates into treatment costs ranging from $750 million to $1.5 billion annually.6 While estimates vary, the average cost to treat late stage pressure injuries is often cited at $43,180.7

PERIOPERATIVE CARE:

When hospital acquired pressure injuries (HAPIs) occur in the perioperative setting they can negatively impact patient outcomes. Patients undergoing long procedures cannot reposition themselves, exposing them to cumulative effects of pressure. Deep tissue pressure injuries can present themselves 48-72 hours after surgical procedures.1 In some instances, root cause analysis has shown that the origin of the pressure injury took place in the operating room. A meta analysis conducted of surgical procedures for 5,451 patients showed a pooled 15% incidence rate for pressure injuries regardless of time or the type of procedure.2

References:

2 Hong-Lin Chen Xiao-Yan Chen Juan Wu. The Incidence of Pressure Ulcers in Surgical Patients of the Last 5 Years: A Systematic Review. Wounds Vol 24 Issue 9 - September 2012

4 Rao A.D. et al. “Risk Factors Associated with Pressure Ulcer Formation in Critically Ill Cardiac Surgery Patients: A Systematic Review,” Journal of Wound, Ostomy and Continence Nursing. 2016;43(3):1-6.

5 Esch, Dianne, Scott Triggers: A Screening Tool for Pressure Ulcer Prevention in Surgical Patients, American Society of Peri-Anesthesia Nurses, June; 25; Issue 3; 186

7 Centers for Medicare and Medicaid Services (CMS), HHS. Fed Regist. 2008 Aug 19; 73(161): 48433-9084

Surgical Table Compatibility:

  • Most North American Surgical Tables

Bed Compatibility:

  • Most Hospital Beds

OR System and ICU System include the following:

  • Pressure Controller (1 for OR and 1 for ICU)
  • Inflatable Overlays (various sizes)
Link to PDF Decreasing Operating Room Pressure Injuries

Decreasing Operating Room Pressure Injuries

March 24 - 28, 2018

The purpose of this study was to determine the effectiveness of the alternating pressure (AP) surface system placed on a standard operating room table in preventing peri-operative pressure injuries (PI) among neurosurgical patients.

Sacral skin blood flow response to alternating pressure operating room overlay

March 24 - 28, 2018

The study objective was to compare the response of sacral skin blood flow on a foam operating room (OR) pad with and without an AP overlay.

Link to PDF APO for Preventing Pressure Ulcers

A Novel Alternating Pressure Overlay (APO) for Preventing Pressure Ulcers during Surgeries.

October 16-18, 2014

The purpose of this study is to evaluate the effectiveness of an alternating pressure (AP) overlay in off-loading body areas at high risk for pressure ulcer during surgeries using interface pressure (IP) mapping.

Link to PDF APO to Mitigate Pressure Injury

Piloting an Alternating Pressure Overlay to Mitigate Pressure Injury

April 1-5, 2017

The purpose of this study is to pilot an alternating pressure (AP) overlay to mitigate intra-operative pressure injury of head/neck patients when surgery was scheduled for four or more hours.

Link to PDF Implementation of Micropressure

Implementation of a Low-Profile Micropressure Support Surface for the Prevention of Perioperative Pressure Ulcers in Cardiac Surgery Patients

Oct 20-22, 2017

The purpose of the interim analysis was to evaluate the implementation of the micropressure support surface in a large hospital setting.

Link to PDF MRI Evaluation of Changes

MRI Evaluation of Changes in Deep Tissue Thickness for a Novel Alternating Pressure Overlay (APO)

October 16-18, 2014

To evaluate the effects of covered foam OR Pad and a novel alternating pressure (AP) overlay on deep tissue structure using magnetic resonance imaging (MRI).

Publications

Link to Pressure Injury Prevention Study

Pressure Injury Prevention for Complex Cardiovascular Patients in the Operating Room and Intensive Care Unit

In this Quality Improvement Project, the authors examined the effect of an alternating pressure overlay (surface) on hospital-acquired pressure injury in high-risk cardiovascular surgical patients.

Journal of Wound, Ostomy and Continence Nursing: November/December 2021 – Volume 48 – Issue 6 – p 510-515

LEARN MORE
Link to Use of a Low-Profile AOP Mattress Study

Intraoperative Use of a Low-Profile Alternating Pressure Mattress

In this Research for Practice article published in AORN Journal, the author reviews a recent prospective case-controlled study of an alternating pressure surface (overlay) for patients undergoing neurosurgical procedures lasting more than two hours.

Intraoperative Use of a Low-Profile Alternating Pressure Mattress, George Allen, AORN Journal, 2020; 111(6): 711 – 714, published by John Wiley & Sons.

LEARN MORE
Link to Intraoperative Use of Low-Profile AOP Mattress Study

Intraoperative Use of Low-Profile Alternating Pressure Mattress for Prevention of Hospital Acquired Pressure Injury

This was a prospective case control study conducted in the operating room and critical care unit of an urban quaternary care hospital in the United States. Neurosurgery patients undergoing surgery for 2 hours or longer in the supine position were included in the study and assigned to receive the AP overlay in the operating room and in the Neurosurgical Intensive Care Unit (NICU) or standard treatment (control).

Intraoperative Use of Low-Profile Alternating Pressure Mattress for Prevention of Hospital Acquired Pressure Injury, Obinna Ezeamuzie, Vigen Darian, Urvashi Katiyar, Aamir Siddiqui is a peer reviewed article that appeared in Perioperative Care & Operating Room Management. 17 (2019) 100080. Published by Elsevier.

LEARN MORE
Link to AOP for Injury Prevention Study

Alternating Pressure Overlay for Prevention of Intraoperative Pressure Injury

A recent peer reviewed article details the outcome of neurosurgery patients on the Dabir surface compared to a control group.

Alternating Pressure Overlay for Prevention of Intraoperative Pressure Injury, Jain Joseph, Dylan McLaughlin, Vigen Darian, Lillian Hayes, Aamir Siddiqui is a peer reviewed article that appeared in J Wound Ostomy Continence Nurse. 2019;46(1):13-17. Published by Lippincott Williams & Wilkins.

LEARN MORE
Link to Sacral Skin Blood Flow Response Study

Sacral Skin Blood Flow Response to Alternating Pressure Operating Room Overlay

This peer reviewed article describes the effects on perfusion of an operating table overlay with an alternating pressure.

Sacral Skin Blood Flow Response to Alternating Pressure Operating Room Overlay, Patricia Karg, Vinoth K. Ranganathan, Michael Churilla, David Brienza; is a peer reviewed article that appeared in Journal of Tissue Viability. 2019;28(2):75-80. Published by Elsevier

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Product Number Description  
BF00101 Dabir Patient Care Plus System Controller Kit
BF00102 Surface - ICU 33x84 W/Straps (5-Foot Hose Blue)
BF00103 Surface - ICU 33x84 W/Straps (10-Foot Hose)
BF00104 Dabir Stretcher Surface (5-Foot Hose)
BF00105 Dabir Stretcher Surface (10-Foot Hose)
BF00106 Power Cord - Facility - NA (15-Foot Latching)
BF00107 Dabir Crib Surface (5-Foot Hose)
BF00108 Dabir Crib Surface (10-Foot Hose)
BF00109 Dabir Surface Hose Assembly (4-Foot)
BF00110 Dabir Surface Hose Assembly (9-Foot)
BF00111 Dabir Surgical System Controller
BF00112 Dabir Surface - Surgical Narrow (1-Foot Hose)
BF00113 Dabir Surface - Surgical Narrow (5-Foot Hose)
BF00114 Dabir Surface - Surgical Narrow (30-Foot Hose)
BF00115 Dabir Surface - Surgical Standard (1-Foot Hose)
BF00116 Dabir Surface - Surgical Standard (5-Foot Hose)
BF00117 Dabir Surface - Surgical Standard (30-Foot Hose)
BF00118 Dabir Surface - Surgical Torso-Lithotomy (1-Foot Hose)
BF00119 Dabir Surface - Surgical Torso-Lithotomy (5-Foot Hose)
BF00120 Dabir Surface - Surgical Wide (1-Foot Hose)
BF00121 Dabir Surface - Surgical Wide (5-Foot Hose)
BF00122 Dabir Controller Mount - IV Pole Clamp
BF00123 Dabir Controller Mount - IV Pole Kit
BF00124 Power Cord - Facility - NA (10-Foot Latching)
BF00125 Power Cord - Facility - NA (10-Foot Non-Latching)
BF00126 Power Cord - Facility - NA (15-Foot Non-Latching)
BF00127 Dabir Controller Serviceable Air Filter Kit
BF00128 Dabir Fuse Drawer Kit
BF00129 Dabir Mount Bed Rail (Universal Strap)
BF00130 Dabir Surface - Surgical Short (1-Foot Hose)
BF00131 Dabir Surface - Surgical Short (5-Foot Hose)
SELL SHEET
Document # Document Title
SURGICAL TABLE PAD TIPS AND TRICKS SELL SHEET
BROCHURE
Document # Document Title
SURGICAL PATIENT SURFACES CATALOG
DABIR SURGICAL SYSTEM BROCHURE
DABIR PATIENT CARE SYSTEM BROCHURE
SURGICAL TABLE ACCESSORIES CATALOG
5085/4085 PATIENT POSITIONING INSTRUCTIONS QUICK REFERENCE GUIDE

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