No need to leave patient turning to chance

Toto® is an automatic patient turning system designed to provide effective head to toe pressure redistribution and assist with patient turning. Toto® not only increases patient safety by ensuring patients remain pressure injury free, it also provides a solution to manual turning and reduces the risk of manual handling injuries to caregivers and health care professionals.

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How does it work?

Designed to assist with patient turning and pressure injury prevention plans, Toto® is designed around inflating alternating air cells within the turning platform positioned underneath the patient’s mattress. The patient is then turned laterally via the mattress surface.


The Toto® Touch digital control unit provides customised care with a user-determined side selection feature and accurately timed digital inflation and rest durations.

When left and right is selected, the turning cycle will always commence with the left-hand side turning first.

Sophisticated blockage and air leak alarms help ensure patient safety, as well as an interface lock to avoid unwanted setting changes.

A convenient therapy pause mode enables patient interaction without having to stop therapy, and a service indicator to maintain performance also comes as standard.

The system is compatible with profiling beds and both standard and alternating pressure relieving equipment.

Increased patient safety

Although patient positioning is an important part of patient care, there is limited information on what happens in clinical practice. What published evidence there is, suggests that patients may remain in one position for extended periods of time1.

Toto® automatically takes care of patient turning, reducing the risk of pressure related tissue damage, increasing patient safety and reducing risk to care givers.

Reduces risk of personal injury

The most common care giver tasks that lead to injury are patient: lifting, transferring and repositioning1. According to OSHA (Occupational Safety and Health Administration) in one large national survey, patient handling injuries accounted for 25 percent of all workers’ compensation claims for the healthcare industry2.

Toto® quietly and gently turns patients at prescribed intervals, reducing the dependency on nursing staff and care givers, providing safe patient handling around the clock.

The Toto® product range

Toto®

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Toto®

Toto® effectively redistributes patients’ peak pressures by tilting via discreet inflatable air cells; evenly, smoothly and consistently even when they are sleeping. A better patient experience will improve compliance which will drive better outcomes.

Toto® can be used by anyone who is caring for someone who is bedbound. It requires little skill, little maintenance just the will to make your patients life better! Our expert customer service and clinical advisory team are available to provide reassurance and guidance when required.

The benefits of Toto®

Increases patient compliance

Toto® automatically turns patients relieving pressure over their most vulnerable areas.

Increases patient safety

Toto® reduces the risk of pressure injury, increasing patient safety and reducing the risk to care givers.

Increases turning and positioning protocol compliance

Toto® turning is well tolerated and is clinically effective6. It requires little resource and reduces risk to staff and patients.

Reduces the dependency on nursing staff and care givers

Toto® quietly and gently turns patients at prescribed intervals, reducing the dependency on nursing staff and care givers, providing safe patient handling around the clock.

Quick and easy to install

Toto® is compact and rolled and has two simple connectors.

Compliant

Toto® is compliant and supports the NPUAP Guideline Recommendations7.

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We are Frontier Therapeutics

Pioneering simplicity in pressure injury prevention

With the overall prevalence of pressure ulcers standing at 9.3%8 and costs to treat ranging from $21,000 – $152,0009, pressure injuries are serious, costly and yet preventable.

Effecting more than 2.5 million patients in the United States each year, in hospitals alone9, improving the implementation of preventative interventions has never been more important. At Frontier Therapeutics, we understand the challenges you face on a daily basis, and we want to help.

With a well-established range of products that will simply and effectively support your pressure injury prevention strategy, improve quality of care and ultimately help to reduce pressure injury prevalence10, we are Frontier Therapeutics!

References:

1. Goldhill D R, Badacsonyi A, Goldhill A A, Waldmann C. A prospective observational study of ICU patient position and frequency of turning. Anaesthesia. Journal of Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 2008, 63, 509-51.

2. American Nursing Association. (2015). Safe Patient Handling and Mobility: Understanding the benefits of a comprehensive SPHM program. Available from https://www.nursingworld.org/~498de8/globalassets/practiceandpolicy/work-environment/health–safety/ana-sphmcover__finalapproved.pdf. Accessed 13.06.2019

3. American Nursing Association. (2015). Safe Patient Handling and Mobility: Understanding the benefits of a comprehensive SPHM program. Available from https://www.nursingworld.org/~498de8/globalassets/practiceandpolicy/work-environment/health–safety/ana-sphmcover__finalapproved.pdf. Accessed 13.06.2019.

4. Occupational Safety and Health Administration (OSHA) Safe Patient Handling Programs: Effectiveness and Cost Savings. Available at: https://www.osha.gov/Publications/OSHA3279.pdf Accessed 29.03.2019

5. Goldhill D R, Badacsonyi A, Goldhill A A, Waldmann C. A prospective observational study of ICU patient position and frequency of turning. Anaesthesia. Journal of Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 2008, 63, 509-51.

6. Warner, V. (2015) Evaluating the effectiveness of a new Lateral Turning System to aid patient repositioning using Dynamic Interface Pressure Mapping. Bradford Teaching Hospitals NHS Foundation Trust. Data on file, Frontier Medical Group.

7. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Osborne Park, Australia; 2014.

8. VanGilder, C. et al, The International Pressure Ulcer Prevalence™ Survey: 2006-2015: A 10-year Pressure Injury Prevalence and Demographic Trend Analysis by Care Setting. Journal of Wound Ostomy & Continence Nursing: 2017;44(1);20-28

9. AHRQ. Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. Rockville, MD: Agency for Healthcare Research and Quality; 2014

10. Beckman et al. (2018) A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static air mattress and alternating air pressure mattress to prevent pressure ulcers in nursing home residents. International Journal of Nursing Studies, June, https://doi.org/10.1016/j.ijnurstu.2019.05.015

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