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THE TIMES
DECEMBER 2019
THE PEOPLE WHO TAKE OUR PRODUCTS FROM CONCEPT TO REALITY MEET OUR TEAM OF BRILLIANT ENGINEERS ARC EXCLUSION AREA An exclusion area has been specifically developed to allow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. ARC EXCLUSION AREA An exclusion area has be n specifically developed to llow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. EXCLUSION AREA An exclusion area has be n specifically developed to llow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. EXCLUSION AREA An exclusion area has be n specifically developed to llow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No typ or graphic lem nts should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. EXCLUSION AREA An exclusion area has been specifically developed to allow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. EXCLUSION AREA An exclusion area has be n specifically developed to llow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. 17750 SW Upper Boones Ferry Rd., Ste. 150, Portland, OR 97224 | TZMedical.com | 800-944-0187 PROCEDURE LIGHTING ARC
SECONDARY LOGOS/ CATEGORY LOGOS
SECONDARY LOGOS/ CATEGORY LOGOS
HEMOSTASIS
SECONDARY LOGOS/ CATEGORY LOGOS
HEMOSTASIS
HEMOSTASIS SECONDARY LOGOS/ CATEGORY LOGOS ELECTROPHYSIOLOGY HEMOSTASIS SECONDARY LOGOS/ CATEGORY LOGOS
Inside TZ Medical’s Portland, Oregon headquarters, a series of high-tech laboratories hosts the three teams of engineers that take our innovative medical products from concept to reality. Though their work is done almost entirely behind the scenes, without these 14 people — three mechanical engineers, four electrical and computer engineers, six software engineers, and one intern — our devices would never make it to the cath lab. When a physician, nurse, or technologist sends a bright idea for a new medical product to our office, it falls almost immediately into the hands of our engineering team. It’s very rare that these ideas come fully formed. Instead, these brilliant sparks take a lot of careful coaxing to become full- fledged products. "There is a lot more work than just a design job,” explains Austin Ziegler, a mechanical design engineer who has been on TZ’s team for over two years. “There is a lot of risk-benefit analysis that needs to be done and regulatory information that needs to be considered. We ask, ‘Will this product’s benefits to the patient outweigh the risks?’ We do a lot of usability testing because we want to make it as easy as possible for the patient, doctor, and technologist.” Our engineers take each product through myriad phases, starting with design, then moving on to prototyping, testing, revision, packing, labeling, and instruction creation. Depending on the type of product and how fleshed out the original idea was, this process can take anywhere from three months to three years. For additional input, we’ll often send prototypes into the field with our sales representatives to be vetted by physicians in cath labs nationwide. Each product must pass two different sets of rigorous standards before leaving the lab: the Application of Risk Management to Medical Devices (EN ISO 14971:2012) and the Application of Usability Engineering to Medical Devices (EN 62366:2008). Explaining the first standard, Ziegler says, “What we have to do is go through all of these different potential hazards. There are 15 sections of potential hazards, and 11 potential failure TZMedical Sparkedbyyour ideas TZMedical Sparkedbyyour ideas PATIENT POSITIONING WORKPLACE SAFETY RADIATION PROTECTION TZMedical Sparkedbyyour ideas PROCEDURE LIGHTING PATIENT POSITIONING WORKPLACE SAFETY RADIATION PROTECTION TZMedical Sparkedbyyour ideas ROCEDURE LIGHTING PATIENT POSITIONING WORKPLACE SAFETY RADIATION PROTECTION TZMedical Sparkedbyyour ideas ARC PROCEDURE LIGHTING PATIENT POSITIONING WORKPLACE SAFETY RADIATION PROTECTION TZMedical Sparkedbyyour ideas ARC PROCEDURE LIGHTING PATIENT POSITIONING WORKPLACE SAFETY RADIATION PROTECTION TZMedic l Sparkedbyyour ideas ARC PROCEDURE LIGHTING PATIENT POSITIONING WORKPLACE SAFETY RADIATION PROTECTION TZMedic l Sparkedbyyour ideas TZMedical Sparkedbyyour ideas TZMedical Sparkedbyyour ideas TZMedical Sparkedbyyour ideas EXCLUSION AREA An exclusion area has been specifically developed to allow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in t e primary coin logo. EXCLUSION AREA An exclusion area has been specifically developed to allow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ lett rs incorporated in the prim ry coin logo. EXCLUSION AREA An exclusion area has be n specifically d veloped to allow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. EXCLUSION AREA An exclusion area has be n specifically developed to allow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the primary coin logo. EXCLUSION AREA An exclusion area has be n specifically developed to llow maximum clarity and legibility of the logo. The image below represents the exclusion area required around any application of the pri- mary logo. No type or graphic elements should intrude in this space. This area is measure by the capital width of the TZ letters incorporated in the prima y coin l go. MINIMUM SIZE The logo should meet the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should meet the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should meet the minimum size requir ment of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should m et the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should m et the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. ACCEPTABLE BACKGROUNDS Acceptable background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Acceptable background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Accept ble backgrou d images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Accept ble background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Accept ble background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracti g if there is a large amount of text. Keep the backgrounds simple and professional.
modes. Each section has subsections — one might have six, another might have 11 — describing how the product could potentially pose a hazard or fail. Throughout, we need to create certification tests, go through which hazards will apply, and make sure to verify the product at the end. It’s a rigorous checklist.” The process is similarly comprehensive for the second standard, which tests the products for user-friendliness and ensures they’ll meet the needs of both patients and physicians. The Application of Risk Management testing is Ziegler’s favorite part of the process because it involves designing a range of secondary fixtures used to push the product to its breaking point. Usually, each product requires its own array of specific fixtures. “It’s very rare that we can reuse a fixture,” Ziegler says. “The majority of the time, I’d say 90%, we’re designing new ones because the tests are going to be different on different products.” A puncture test, for example, wouldn’t be necessary for some devices but is absolutely vital for others. Each engineer works on five to seven products at once, including a handful of complex mechanical devices and a few “white-label” products that are more advanced in the process. They pour time, energy, and effort into them for months or years, ferrying each small spark through to completion. Each device that comes out of our Portland office truly takes a village, and it’s thanks to the hard work of engineers like Ziegler that we’re able to change lives for the better in cath labs across the nation. Next time you visit TZMedical.com or call us to place an order, please remember just how much careful thought, testing, and planning went into each product — and consider thanking an engineer for your peace of mind. “If it passes that, then it’s a usable product,” Ziegler says.
ELECTROPHYSIOLOGY HEMOSTASIS SECONDARY LOGOS/ CATEGORY LOGOS
DEFIBRILLATION ELECTROPHYSIOLOGY HEMOSTASIS
MINIMUM SIZE The logo should meet the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should meet the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should m et the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should meet the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should m et the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. MINIMUM SIZE The logo should meet the minimum size requirement of 3/8 in. wide for the logo with the tagline and 0.15 in. diameter for the logo without the tagline (the ‘coin’). When required in smaller sizes, use black (Positive) or White (reversed) versions of the logo. ACCEPTABLE BACKGROUNDS Acceptable background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Acceptable background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Accept ble background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Accept ble backgrou d images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for deta ls on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Acceptable background images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the backgrounds simple and professional. ACCEPTABLE BACKGROUNDS Accept ble backgrou d images depend on how they are used. A good background will include the TZ Blue color or one of the tint color variations. (see page 17 for details on these colors.) The background should not be too distracting if there is a large amount of text. Keep the b ckgrounds simple and professional.
ELECTROPHYSIOLOGY
DEFIBRILLATION ELECTROPHYSIOLOGY HEMOSTASIS
NEUROSURGICAL DEFIBRILLATION ELECTROPHYSIOLOGY
NEUROSURGICAL DEFIBRILLATION ELECTROPHYSIOLOGY
DEFIBRILLATION
CARDIAC MONITORS NEUROSURGICAL DEFIBRILLATION
CARDIAC MONITORS NEUROSURGICAL DEFIBRILLATION
COMFORT ZONE CARDIAC MONITORS NEUROSURGICAL
NEUROSURGICAL
COMFORT ZONE CARDIAC MONITORS NEUROSURGICAL
COMFORT ZONE CARDIAC MONITORS
COMFORT ZONE CARDIAC MONITORS
CARDIAC MONITORS
COMFORT ZONE
COMFORT ZONE
COMFORT ZONE OGOS/ CATEGORY LOG S
OGOS/ CATEGORY LOGOS
ARC
MOSTASIS
OGOS/ CATEGORY LOGOS
ARC
MOSTASIS
OGOS/ CATEGORY LOGOS
ARC
ARC
ECTROPHYSIOLOGY MOSTASIS OGOS/ CATEGORY LOGOS
PROCEDURE LIGHTING
ARC
MOSTASIS
PROCEDURE LIGHTING
ECTROPHYSIOLOGY
ARC
FIBRILLATION ECTROPHYSIOLOGY MOSTASIS
PATIENT POSITIONING PROCEDURE LIGHTING
PROCEDURE LIGHTING
PATIENT POSITIONING PROCEDURE LIGHTING
FIBRILLATION ECTROPHYSIOLOGY
WORKPLACE SAFETY PATIENT POSITIONING PROCEDURE LIGHTING
UROSURGICAL FIBRILLATION ECTROPHYSIOLOGY
WORKPLACE SAFETY PATIENT POSITIONING
UROSURGICAL FIBRILLATION
PATIENT POSITIONING
RADIATION PROTECTION WORKPLACE SAFETY PATIENT POSITIONING
RDIAC MONITORS UROSURGICAL FIBRILLATION
RADIATION PROTECTION WORKPLACE SAFETY
RDIAC MONITORS UROSURGICAL
RADIATION PROTECTION WORKPLACE SAFETY
MFORT ZONE RDIAC MONITORS UROSURGICAL
WORKPLACE SAFETY
MFORT ZONE RDIAC MONITORS
RADIATION PROTECTION
MFORT ZONE RDIAC MONITORS
RADIATION PROTECTION
MFORT ZONE
RADIATION PROTECTION
–The TZ Medical Team
MFORT ZONE
800-944-0187 | 1
TIPS FOR RUNNING AND JOGGING IN COLD WEATHER RUNNING IN A WINTER WONDERLAND
Maybe you love the majesty of a winter’s morning, or maybe you just hate the treadmill. Whatever your reason is for wanting to run or jog outside in the dead of winter, remember to take the proper precautions before stepping out. Runners face challenges during the winter that they don’t face any other time of year. If you want to experience the winter safely, there are a few things to keep in mind. WARM UP INSIDE FIRST. If you’re planning on braving the snow and frigid temperatures, try to spend 10–15 minutes warming up before you walk out your front door. Cold weather naturally tightens muscles and joints, so stretching your limbs in a heated environment is a good way to ensure maximum comfort and minimum risk of injury when you’re running in the cold. WEAR SHOES WITH TRACTION. If your favorite running path is covered with snow and ice, you should consider finding a different route. But, if you can’t resist going down your beaten path, then you need to make sure your shoes are up to the
challenge. If your running shoes have worn soles, then you’ll need to get a new pair with soles that will grip the ground better before stepping out on the ice. Regardless of how amazing your shoes are, remain vigilant about where you’re stepping. DRESS DOWN A LAYER. Yes, it is cold outside, but your body will naturally warm up as you run, just like it would with any other physical activity. Think of what you would normally wear to stay comfortable in the cold, and then wear one less layer when you’re running. Of course, you should keep other weather elements in mind as well, such as wind, rain, and snow, when you’re picking out your running clothes. Finally, if a day is particularly cold, snowy, or windy, don’t force yourself outside for the sake of your health. Sometimes, a good bowl of soup and a roaring fire can be just as physically satisfying as a run outside.
GIVE THE GIFT OF COMFORT THIS SEASON HOW TZ MEDICAL’S PRODUCTS PRIORITIZE THE PATIENT
Regardless of which holiday your family celebrates, there’s no doubt generosity is the focus of the season. Between shopping for presents that pile up under the Christmas tree, cooking elaborate holiday meals, and making space for visiting friends and family, most of our energy during December is directed toward others. Here at TZ Medical, we think that spirit should be kept alive year-round. That’s why we offer products geared toward making the lives of physicians, technologist, and their patients easier. Many of our devices are focused on positioning and eliminating awkward or uncomfortable postures for patients and physicians alike. The Standtall, for example, allows the patient's left arm to remain in a more natural position during a left-radial artery procedure, and enables the physician to work left radial access cases comfortably, without having to hunch or stoop over. Similarly, the Cobra Board prevents arm drift during the same type of procedure by
acting as a buttress, which is a boon to the physician, and holds the arm in place with a cuff positioned around the tricep, which is optimal for patient comfort. We recognize the importance of the life-saving work our clients are doing in the cath lab while also sympathizing with their patients who are going through a difficult experience. No one should be uncomfortable during the
holidays — so why not give your patients the gift of comfort this season?
To learn more about the products we offer that put patients and physicians at ease, visit TZMedical.com or call 800-944-0187 today. Our staff will be happy to answer any questions you might have about our devices and walk you through the ordering process. We think your holiday should be hassle-free, too!
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THE VITAL ROLE OF OUTPATIENT LABS AND HOW TZ MEDICAL’S PRODUCTS HELP THEM THRIVE Outpatient and office-based labs have become increasingly popular over the last 10 years. In 2013, the Outpatient Endovascular and Interventional Society was formed to establish quality standards for care, safety, and more. With that additional security, patients and physicians have embraced the hybrid model, which combines a lab and surgery center under one roof. “For physicians, the advantage of an outpatient lab is that they can perform procedures between patient visits,” explains TZ Medical client Jerry Van Horn, the Director of Cardiovascular Services at the Arizona-based outpatient lab Phoenix Heart. “They can see a patient in the clinic, then step through a glass door, perform a heart catheterization or peripheral intervention, and step right back through the door and continue seeing patients in their office.” Phoenix Heart’s team of cardiologists offers patients a range of cath lab procedures, covering everything except coronary interventions, generator implants, and electrophysiology. When Van Horn opened his four-bed Phoenix Heart branch five years ago, coming off a 15-year career in medical sales, he immediately turned to TZ Medical for his products. During his years in the field visiting hospitals nationwide, he’d seen how comfortable patients were with our devices and says stocking them for his lab was “a no-brainer.” “The first product I started using from TZ was the Comfort Band when we started doing the majority of our cardiac cases radially, and we combine that with the Neptune patch from time to time as needed. We mostly use that for venous ooze situations, not primary for hemostasis,” he says. Van Horn’s lab sees between 250–300 cardioversions a year, and he has also relied on TZ for defibrillation electrodes and compression devices in the past. At the end of the day, Van Horn’s goal is to keep his patients comfortable during stressful procedures, and he advocates both TZ’s products and the outpatient model to that end. “Patients love that they can come in an hour before the procedure, have it performed, recover in our small holding area for 2 hours, and then go home,” he said. Whether your cath lab is inside a hospital or independent of one, TZ Medical’s devices can improve the lives of your patients and physicians. To learn more, call us today at 800-944-0187 or visit TZMedical.com.
TAKE A BREAK
800-944-0187 | 3
PRST STD US POSTAGE PAID BOISE, ID PERMIT 411
17750 SW Upper Boones Ferry Rd., Ste.150 Portland, OR 97224
800-944-0187 TZMedical.com
INSIDE THIS ISSUE:
1
Meet Our Team of Brilliant Engineers
2
Tips for Running and Jogging in Cold Weather
2
Give the Gift of Comfort This Season
3
Take a Break
3
The Vital Role of Outpatient Labs
4
TruBrite
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