For more information on Triton System and Triton Canister System please refer to LB 06002 and LB 6004 Gauss Surgical Inc. 334 State St. Los Altos, CA 94022PM 0038A

Customer Case StudyImproved Intra-Operative Blood Management 2014-2015 Performance Improvement/ROI Study (n = 429 burn procedures)

Why UC Irvine Medical Center adopted Triton

$597,400

UC Irvine Medical Center adopted Triton to more accurately estimate intraoperative blood loss and improve decision making related to red cell transfusion. UCI introduced Triton into its burn center in 2015 with the intention of incorporating Triton into regular clinical practice as well as to study Triton’s role in recognizing blood loss, reducing unnecessary transfusions and optimizing patient outcomes. UCI studied the impact of Triton by comparing transfusion practice for patients having burn excisions before Triton (n=194) in which visual estimation was used to estimate blood loss and after the introduction of Triton (n=235) to estimate blood loss. These data allowed UCI to evaluate Triton as a clinical decision support tool for perioperative blood management. The results showed a significant clinical and economic benefit for cases in the Triton group. UC Irvine has demonstrated that adopting Triton led to improved transfusion management, reduced blood utilization and cost savings.

UC Irvine has demonstrated that adopting Triton can lead to appropriate transfusion management, reduce blood utilization and provide cost savings.

In these patients as well as in the subgroup of the most critically ill, accurate monitoring of surgical blood loss led to a decrease in post-operative transfusions, more timely decision-making and associated cost savings. Informed transfusion decisions result in fewer transfusions by avoiding (1) excess hemodilution leading to unnecessary transfusion based on hemoglobin triggers and (2) inappropriate over-transfusion.

Munizcastro J, et al., Anesthesia & Analgesia. 123 (3S, Suppl):30, September 2016

Reduction in Multiple transfusion events• 15.6% vs. 37%; p = 0.0078

Reduction in Postoperative transfusion rates• 6.8% vs 13.4%; p= 0.02 Reduction in Blood Transfusion (PBRC) dose• 1.9 vs. 2.5 units, p = 0.03 (in transfused patients)

PBRC unit cost savings of $48,600 (2.03x ROI)• Projected for single Operating Room

“By using Triton and having an idea of what

we’re losing we are starting to see that, post-op

day one, our hemoglobins are staying more

stable… the anesthesia team has something

tangible to look at during the case. There’s a

better awareness in general of blood loss where

I truly felt like I was guessing before.”

Nicole Bernal, MD FACSPrinciple InvestigatorUC Irvine Medical Center

Learn more about Triton gausssurgical.com

TraditionalN = 54

Tran

sfus

ions

Epi

sode

s

All Transfusions PatientsN = 118 procedures

TritonN = 54

63%

84%

0

100%

50%

P=0.0078

-57%

37%16%

Multiple Single