Op Sheet Presentation July 2011

1. Introducing: Op-Sheet™ The Operating Room Bed Sheet with Protection By BCG Medical .

2. Op-Sheet™ Slide Show Presentation

3. Op-sheet™ , New Surgical Bed Sheet that Offers: Multiple safety benefits for surgical patients Risk reduction of work-related back injury for the staff Time-cost efficiencies in the Operating Room It’s all about patient care, patient comfort, patient safety, hospital cost savings and hospital efficiencies

4. Current Situation with O.R. Bed Sheet Thousands of surgeries are being performed in the U.S. everyday Patients undergoing surgeries under anesthesia are at risk for nerve and bodily injuries due to inconsistent and unreliable limb securing methods Peripheral nerve injuries and brachial plexus injuries are common. The Ulnar nerve is most frequently affected among these injuries, accounting for 33% of all nerve damage cases The true number of nerve injuries during general anesthesia remains unclear and is most likely underestimated.

5. Current Situation with O.R. Bed Sheet (continued)

6. Current System Showing Use of Simple Bed Sheet (Unsecured)

7. Current Product: Inflatable Mattress Advantages Aids in bed-to bed transfer of patient Reduces cross contamination Disadvantages High cost to the hospital. ($80 per sheet) Requires air supply source Does not address nerve injury and artery occlusion risks. No means to secure patients legs No I.V. port positioning feature

8. Op-Sheet™ with Double-Fastening System (patent-pending)

9. Op-Sheet ™ Benefits Fitted sheet allows faster O.R. bed preparation Superior protection for patients limbs during surgery Helps reduce self-inflicted injuries Provides secure and easy access to I.V. ports Easier bed-to-bed patient transfer Reduces cross-contamination Reasonably priced

10. Op-Sheet™ Benefits (cont.) Helps reduce risk of pressure ulcer Helps reduce risk of patient sliding off the O.R. bed during surgery in extreme positions

11. How Bed is Made with Op-Sheet™  Waterproof to prevent cross contamination  Fitted Ends     Four buckles to secure sheet to O.R. bed

12. How Bed is Made with Op-Sheet™

13. How Bed is Made with Op-Sheet™   Fasteners for I.V. access Leg straps Shoulder Line    Handles for lateral support Pockets for suction tip and tubing

14. How Bed is Made with Op-Sheet™ Arm Pad  Patent-pending Double- fastening system

15. Patient on Op-Sheet™ Arms and hands ‘ are positioned between the two layers of double- fastening system

16. Double-fastening System (secured with first layer)

17. Arms and Hands are Securely Tucked (second layer)

18. Secure Straps for Legs

19. Fasteners for I.V. Access Ports and Pockets for Suction Tip and Tubing

20. Patient with Hands, Arms & Legs Secured

21. Current System: Common Bed Sheet Advantages Low cost resusable sheets Disadvantages Reprocessing (laundry) cost and logistics can be expensive. Poorly made O.R. bed. Possible cross contamination. Insecure arm positioning when tucked Risk of nerve injury and axillary artery occlusion due to bunching at the axilla .

22. Double- fastening System Advantages Only one nurse is needed to secure the patient’s arms. No need to look for and to use gel pads. Arms and hands are securely cradled and are slightly elevated from the O.R. bed, thus minimizing pressure on the Ulnar areas. Pads provide additional insulation. Arms and hands are in neutral position and less I.V. indentation on the patient’s arms.

23. The Op-Sheet™ Benefits Currently, no surgical bed sheet product brings all the solutions that Op-Sheet™ does. Ease of preparing the O.R. bed . Secured protection for the extremities Memory foam in buttock area to reduce pressure ulcer Foley catheter fastener I.V. access fasteners Help reduce self-inflicted injuries during emergence from anesthesia Ease of lateral patient transfer helps reduce injuries to staff Reduction of cross contamination Potential reduction of law suits due to patient injury Competitively priced

24. Market Description for Op-Sheet™ The target market for the Op-Sheet™ includes hospitals, O.R. staff, Anesthesiologists, and Surgeons Additional support could potentially be obtained from the following organizations: Center for Disease Control (CDC) Occupational Safety and Health Administration ( OSHA) American Hospital Association (AHA) American Operating Room Nurses (AORN) American Society of Anesthesiologists (ASA)

25. Market Readiness Data from the American Society of Anesthesiologists (ASA) closed claims project continues to indicate that severe anesthesia-related injuries such as death and brain damage are becoming less frequent. This is NOT the case, however, with anesthesia-related peri -operative nerve injuries. “ Cheney FW: peri -operative Ulnar nerve injury.” ASA newsletter 62(6): 10-11-1998. IT IS ABOUT TIME TO REPLACE THE CURRENT O.R. BEDDING WITH THE Op-Sheet™ .OUR SURGICAL PATIENTS DO DESERVE THE BEST. Brandon Giap , M.D.

26. THIS IS THE END OF THE OUR SLIDE SHOW PRESENTATION THANK YOU