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Success Story - Aesculap Managed Service (SAM Fleet Care)

Hospital Šumperk

In February 2020, Hospital Šumperk in the Czech Republic became the first Aesculap Managed Service (SAM Fleet Care) customer, with a complete renewal of their surgical instrument fleet.

Surgeons at Hospital Šumperk are now operating using new surgical instruments having completely replaced their old instruments. The hospital is the first in the Czech Republic and Eastern Europe to benefit from the Aesculap Managed Service programme from B. Braun. Instead of procuring the instruments through capital investment they now have nearly 3,500 Aesculap quality surgical instruments provided to them via a fixed monthly fee, covering the next 6 years.

Doctors of the Šumperk Hospital are performing surgeries with new surgical instruments

“We are the first hospital in the country to go for the holistic SAM Fleet Care (Aesculap Managed Service) programme including surgical instruments. There are several reasons: From the OPTIMISATION of the instrument sets and AESCULAP QUALITY, significant FINANCIAL SAVINGS (≈ 30 %), to ORIGINAL AESCULAP MANUFACTURER REPAIRS, which are also part of the programme. Our surgeons will continuously have access to instruments in a condition adequate to their precise and delicate work.”

Says JUDr. Martin Polach, Chairman of the Board of Directors of Šumperk Hospital

If the hospital has all the surgical instruments in an adequate condition, this could contribute, among other factors, in helping to reduce the risk of transmitting nosocomial infections and the potential risk of operator error.
A possible positive effect of having less instruments per tray is the potential cost reduction:

“Moreover, by having less instruments, our operating costs could be reduced significantly.”

Says JUDr. Martin Polach, Chairman of the Board of Directors of Šumperk Hospital

Martin Polach adds that renting a solution from one supplier, including original Aesculap manufacturer repairs and other value added services will bring the hospital ANNUAL COST SAVINGS OF ABOUT 30 %.

The hospital highlights that SAM Fleet Care (Aesculap Managed Service) is a flexible long-term solution and not a classic one-time delivery.

CSSD employees managing surgical instruments in the CSSD

“When the number or composition of surgical interventions changes, the hospital will have the possibility to adapt the instrument fleet accordingly. The hospital does not only benefit from our Aesculap quality instruments, with more than 150 years of experience in field of manufacturing surgical instruments, but also from the long-term partnerships. Lots of other value added services, tailored to the needs of the hospital, are part of the managed service, such as original Aesculap manufacturer repairs, professional staff training and process consulting.”

Says MUDr. Alan Munteanu, Member of the B. Braun Group Management

In contrast to a classical purchase, prior to the offer an Inventory Analysis was made by B. Braun:

“It turned out that a number of surgical instruments were already subject to wear. It is clear that if you operate the instruments daily for many years, exposing them to a demanding sterilisation process, they might fulfill their function, but their condition can be improvable. It is similar to gardening tools: With old pruning shears, you will also cut what you need, but sometimes you have to cut several times and exert more force compared to new ones.”

Explains Ing. Matěj Šťastný, Biomedical Engineer of Šumperk Hospital

During Set Consulting (which was also part of SAM Fleet Care (Aesculap Managed Service)) it was noticed that some of the existing inventory could be eliminated, as most of it has never been used during surgery. Finally the instrument fleet of the Šumperk Hospital could be REDUCED FROM 5,144 INSTRUMENTS TO 3,483 BRAND NEW SAM FLEET CARE INSTRUMENTS, which means a reduction of 32 %.

“I'm glad our doctors and nurses accepted the idea that it is more efficient not to have one huge set for all cases in the hospital, but rather divide and combine it in a meaningful manner and subsequently define supplement sets containing specialised instruments for specialised surgeries.”

Adds Ing. Matěj Šťastný, Biomedical Engineer of Šumperk Hospital

“This will simplify the situation for the operating room staff and relieve the central sterilisation staff as they will not have to sterilise as many surgical instruments on a daily basis.”

Adds Ing. Matěj Šťastný, Biomedical Engineer of Šumperk Hospital

Consequently, surgical sets are not unnecessarily overloaded with surgical instruments and handling of the sets is easier for personnel.

_{Image: Ing. Matěj Šťastný, Biomedical Engineer of Šumperk Hospital}

In addition, doctors can always rely on complete sets thanks to the availability of spare instruments, which are placed in a well-organised Backup Stock in the CSSD warehouse.
In case an instrument needs to be repaired or replaced, the CSSD employee can take a substitute instrument out of the Backup Stock and thereby complete the set.

CSSD employee managing surgical instruments with the backup stock management app

Reference video

First SAM Fleet Care (Aesculap Managed Service) in Czech Republic, Šumperk Hospital.

More Details about the Šumperk Hospital

Under new ownership Šumperk Hospital and MUDr. Martin Polach began investing in the development of the hospital and in the purchasing of new equipment technology. The hospital opened new workplaces and built a new super aseptic operating theatre. In 2017, the owner of the hospital built a new modern radio diagnostic area, and launched magnetic resonance imaging. It was a large investment, which cost more than 160 million CZK (approx. 6,111,125 Euro). The largest investment in the history of the hospital, which cost 220 million CZK (approx. 8,403,000 Euro), was the opening of a long-term intensive and subsequent nursing care ward, which resulted from the reconstruction of the “old surgery building”.