EXECUTIVE SUMMARY Following a request from the central procurement department, the CEDIT, a hospital based HTA agency of the Paris University Hospital (AP-HP), assessed the value of traceability for individual surgical instruments. Indeed, surgical instruments may get mixed up or be inverted with instruments from other procedures either in the operating area or in the […]
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Spectros T-Stat™ (Visible light spectroscopy) for acute intestinal ischemia
EXECUTIVE SUMMARY The CEDIT assessed the clinical value of Spectros T-Stat™ for the diagnostisof acute intestinal ischemia. This assessment occurred with the development of the first French stroke center named SURVI (Structure d’URgences Vasculaires Intestinales) in Paris. Technical aspects: This device uses visible light spectroscopy to measure tissue oxygenation. An optical catheter is introduced via […]
Endobronchial spirals in the treatment of severe pulmonary emphysema
EXECUTIVE SUMMARY The CEDIT, a hospital based HTA agency of the Paris University hospital (AP-HP) assessed the value of endobronchial spirals in the treatment of severe pulmonary emphysema. Technical aspects: The RePneu® implantable medical device consists of sterile nitinol (nickel titanium alloy) spirals that adopt a predetermined shape (other than straight) once in place in […]
Bioquell airborne disinfection system
EXECUTIVE SUMMARY Following an outbreak of Acinetobacter baumannii in the centre for treatment of burns at the Saint Louis hospital in Paris, the CEDIT and the CCLIN-Paris Nord (1) were requested by the director of the hospital group to give an opinion on a disinfection process based on vaporization of hydrogen peroxide originating from the […]
Pre-hospital ECMO for refractory cardiac arrest
Executive Summary The CEDIT (hospital based HTA agency) of AP-HP (Paris University Hospital) assessed the impact and value of extracorporeal membrane oxygenation (ECMO) used in a pre-hospital setting, for patients with refractory cardiac arrests. This assessment follows a request from an advanced life support unit from Necker Hospital to use the Cardiohelp® device (Maquet) for […]
Fully bioresorbable drug-eluting coronaryscaffolds: A review
See the complete review published in Archives of Cardiovascular Diseases: Fully bioresorbable drug-eluting coronaryscaffolds: A review Summary Following the development of stents, then drug-eluting stents (DES), bioresorbable scaffolds are proposed as a third evolution in coronary angioplasty, aiming to reduce the incidence of restenosis and stent thrombosis and to restore vascular physiology. At least 16 […]
Radical-7™ – non-invasive continuous monitoring of hemoglobin
EXECUTIVE SUMMARY The CEDIT assessed the value and the impact of the device Radical-7™ (Masimo company) for non-invasive continuous monitoring of hemoglobin during and after surgery. Technical aspects: This device is composed of a sensor, a patient cable and a monitor. It enables the continuous monitoring of multiple physiological parameters, including hemoglobin, using finger plethysmography […]
STAR™ – radiofrequency ablation system for vertebral metastasis.
EXECUTIVE SUMMARY The CEDIT assessed the clinical value of the STAR™ (company D-FINE) radiofrequency ablation system intended to treat vertebral metastasis. Technical aspects: STAR device combines a bipolar directional flexible probe equipped with two thermocouples measuring per-process temperature, to an RF generator – and monitoring unit. According to the manufacturer, these features allow to consider […]
Aquapheresis – ultrafiltartion for congestive heart failure
EXECUTIVE SUMMARY The CEDIT assessed the value of the therapeutic method called « aquapheresis », process aiming to reduce in a non-pharmacological way the fluid overload of patients with congestive heart failure. Technical aspects: The term « ultrafiltration » designates the water extraction from the vascular system via a membrane, either by hemodialysis or by haemofiltration. The term « aquapheresis » […]
Antigermix – disinfection of endocavitary ultrasonography probes
EXECUTIVE SUMMARY The CEDIT assessed the value of ultraviolet rays UV-C (the Antigermix device) used for disinfection of endocavitary ultrasonography probes (endorectal and endovaginal), potential carriers for microbiological contaminations accross patients. Technical aspects: The Antigermix disinfection unit manufactured by Germitec uses ultraviolet rays with a wavelength of 254 nm generated by six low-pressure mercury gas-discharge […]
