RA Medical Services Ltd Latest News

Kings College Hospital Students Sedation Training July 2020

The attached collage depicts some of the latest students of Kings College DTEC with their R A Medical sedation educational packs.   We have been supporting Sally Khawaja and her teaching team for some years now, but it is especially nice to see this batch with their packs – a pleasant change from the unfortunate months we have been living through and a reassuring indication of returning to some levels of normality.  R A Medical Services wish them all the... Read More...

Latest infection control Guidance for Inhalation Sedation Equipment

R A Medical Services continue to receive many enquiries with regard to infection control of equipment and breathing systems, so this article is intended as an update. Care of hardware; Flowmeters/Miniscavs etc The normal position of this equipment – behind the chair head -should only result in some minimal surface aerosol contamination.  This can be removed by wiping over the hard surfaces.  However, when using large surface wipes – e.g. Clinell – these should always be wrung out to remove... Read More...

COVID-19 generated delay in attending sedation equipment for routine maintenance

Due to the Covid-19 pandemic, our maintenance department is currently running in arrears of approximately 8 weeks for routine on-site servicing of sedation equipment.  However, there are some regional variations which may add to this timeframe. Every effort is being made to catch up, but we would ask our customers to be patient during this difficult period as the amount of calls we can make in any one day are limited due to infection control restrictions.  We are available for... Read More...

Dedicated One Way Fresh Gas Flow into the Patient Breathing Circuit

All dedicated inhalation sedation flowmeters (Matrx, Porter & Accutron) operate in a similar manner.  The fresh (titrated) gases from the flowmeter outlet are ‘split’ into two flow conditions.  Due to the bias on the flowmeter non-return valve, a portion of fresh gas is directed into the reservoir bag.  This allows provision for patient monitoring. The exception to this is when using a system such as the Porter Silhouette.  Due to the bag tee being capped (with the reservoir bag removed),... Read More...

Statement from Porter Instruments re Inhalation Sedation as a non AGP

Use of nitrous oxide is not an aerosol producing procedure.  Aerosol producing procedures (in relation to “gas flow”) involve positive pressure, intubation, high flow oxygen therapy, use of nebulizers, etc.  Essentially forcing gas flow to the patient regardless if they are inhaling it or not. The descriptions in the article (copied below) are misleading in the sense that someone would think “any gas flow will cause aerosols”.  This is not the case.  The examples below are assuming there is high... Read More...

OCDO SOP – IHS vs AGP Clarification

The release today, by OCDO Office of Chief Dental Officer England of the ‘Standard operating procedure Transition to recovery’  brings some welcome clarification of the ongoing debate regarding Inhalation Sedation as a AGP.  Page 24 of this document clearly states “Inhalation sedation is not considered an AGP and may be a suitable alternative to general anaesthesia for children needing dental care”. Hopefully this brings to a completion the ongoing debate on this topic.  If any help or advice is required... Read More...

Guidance on Classification of AGP in conjunction with Inhalation Sedation

Inhalation Sedation & COVID-19 AGP Classification PDF Download : Here Infection control for both patients and staff has become a very Frequently Asked Question.  Whilst most of the queries raised have centred around infection control for patients receiving Inhalation Sedation (RA), a further pertinent topic has arisen – AGP (Aerosol Generating Procedure). Whilst there is no doubt that administering IS can be placed into that category due to the necessary patient/staff orientation and “exposure to the aero-digestive tract” Ref: 1.,... Read More...

Infection control best practices with Porter and Matrx nasal hoods and breathing circuits:

Download the PDF Follow the appropriate User Manual instructions (all the links on next page) for cleaning, disinfecting and sterilization temperatures and cycle times.a. For instructions that indicate wiping down hoses, tubing and other parts with surface disinfectants in between uses – best practices would always be to clean, rinse, and then steam sterilize after each use patient use. Anything that is in contact with a patient should be sterilized.Single use nasal hoods are single use – do not wipe... Read More...

Guidance For Infection Control and Sterilization of Porter and Matrx Nitrous Oxide and Oxygen System Components 1st May 2020

Download as a PDF The dental and medical industries are on heightened alert regarding infection control standards. The following frequently asked questions and recommendations for care of your Porter or Matrx nitrous oxide and oxygen systems and respective components may be helpful at this time. Frequently Asked Questions: Do I need to be concerned with cross contamination of my flowmeter and breathing bag?Your patients are not in contact with the flow meter or the breathing bag. Their exhalation cannot travel... Read More...

Dental professionals still wishing or needing to treat patients using Inhalation Sedation

In these increasingly distressing times, for those dental professionals still wishing or needing to treat patients using Inhalation Sedation, Porter instruments have just issued this guide to infection control.  If there are any further queries, please email Mrs Janet Pickles janet@ramedical.com Porter-Infection-Control-Standards-March-2020-1.pdf Read More...

New Equipment Installation

Some positive news amongst the distressing situation we currently endure – just prior to the Government lockdown, our engineers installed a piped medical system complete with Accutron Digital Ultra and Miniscav in this brand new surgery.  It is all ready to use once life returns to some form of normality. On a separate matter, as many dental GA sessions are being cancelled, NHS Trusts are looking to treat their paediatric and special needs patients under RA – using single patient... Read More...

R A Medical Services are suspending the majority of their business activities until such time as the current situation resolves itself

It is with deep regret that R A Medical Services are suspending the majority of their business activities until such time as the current situation resolves itself.  All ongoing maintenance has been temporarily halted and no large equipment orders will be delivered.  Small sundry orders, if stock equipment is available, will still be despatched, with particular regard to infection control products. We are still responding to emails and telephone calls, offering help and advice to all our customers and will... Read More...

Covid 19 Infection control Guide

You can download this document here in PDF format In the past few days R A Medical Services have received a growing number of requests for guidance on infection control procedures. The advice below is a suggested guide to dealing with the current situation: Inhalation Sedation (RA) flowmeters All dedicated inhalation sedation machines e.g. MDM, DMDM, MXR C2000 or C3000, Accutron Ultra and Digital Ultra are valved. This effectively means that once the fresh gases are titrated, they pass out... Read More...

INFECTION CONTROL GUIDE TO CARE OF INHALATION SEDATION FLOWMETERS AND SCAVENGER BREATHING SYSTEM COMPONENTS

INFECTION CONTROL GUIDE TO CARE OF INHALATION SEDATION FLOWMETERS AND SCAVENGER BREATHING SYSTEM COMPONENTS You can download this document in PDF format here Section 1. Inhalation Sedation Flowmeters As defined in ‘A Conscious Decision’ published by the Department of Health in 2003 the section for Equipment for Conscious Sedation states: “Of the various reports since 1967, the Poswillo Report made the most specific recommendation for the equipment and drugs which dental practices should have to support the practice of sedation.... Read More...

Important Notice about Coronavirus

We at R A Medical Services hope this finds all our customers, friends and family, safe and well. For the time being, all our operations are continuing as normal.  We will, of course, be taking note of any governmental imposed instructions, so this situation could change rapidly. All our staff have been instructed to observe the hand washing and infection control regimes as advised and at the present time, nobody has reported as evidencing symptoms.  If this happens, they will... Read More...

Issue 10 Catalogue – January 2020

We are pleased to announce the release of our latest catalogue which will be available from January 2020.  With better images and new product information to assist with your purchasing requirements, it provides an excellent overview of our products and services. The catalogue will be available in both a printed and on-line version – to view the latter please visit our website www.ramedical.com.  If you would like to receive a printed copy, please email info@ramedical.com to request,, stating the postal... Read More...

Christmas shutdown December 2019

Our Office Manager Joanne and all staff from R A Medical would like to wish our customers a very Happy Christmas and Best Wishes for the 2020. The annual shutdown will take place from 12.30pm on Friday 20th December 2019 until 9am on Monday 6th January 2020.  No orders will be processed during this period. Read More...

BADN 2019 National Dental Nursing Conference

The BADN 2019 National Dental Nursing Conference took place at the Oxford Spires Hotel on 1st and 2nd November 2019.  Chief Dental Officer England, Sarah Hurley, gave the Keynote Opening speech.  During the afternoon, Janet Pickles gave a presentation on ‘Sedation: The Digital Age’. Read More...

The Parliamentary Review – Healthcare & Pharmaceutical

Janet and Chris Pickles attended a Gala Reception at the Terrace Pavilion, Houses of Parliament last Thursday evening – 31st October.  This was to celebrate the inclusion of R A Medical Services in this year’s Parliamentary Review – a recognition of the Company’s hard work in recent years.  Speakers included Sir Geoff Hurst who  gave a very entertaining talk about his footballing career and Lord Blunkett. Lord Eric Pickles opened the evening and thanked all the contributors for their hard... Read More...

R A Medical Services recognised in the Parliamentary Review

Chairwoman Janet Pickles commented that we are delighted to be involved in this year’s Parliamentary Review and hope the story of our journey is read and provides inspiration for other people.  Innovation is still alive and in full flow, but hard work and attention to detail is equally important. The best practice article for R A Medical Services can be viewed here: https://www.theparliamentaryreview.co.uk/organisations/r-a-medical-services Read More...

British Society of Paediatric Dentists, held at The Repertory Theatre, Birmingham

10th - 13th September saw a very successful attendance at this years BritishSociety of Paediatric Dentists, held at The Repertory Theatre, Birmingham.A popular event with over 400 Paediatric Dentists, nurses and Consultants.   R A Medical were once again sponsoring the Clinical Case Prize and it givesus great pleasure to announce the 2019 Winner: Hannah Walsh of Manchester University NHS Foundation Trust with "The future:proton beam therapy - dental challenges and multidisciplinary management".This is the third year running that members... Read More...

Local MP Visits R A Medical

Today the Company had the privilege of a visit by our local Member for Parliament – John Grogan MP.  John was given a tour of the R A Medical Services premises to meet staff and learn about our business activities.  Janet Pickles took the opportunity to express concern re the lack of suitable business premises in the area for growing companies and he promised to look into this.  Read More...

R A Medical Services; Janet & Chris Pickles and Lead Engineer James Throupe, recently visited the Porter Instrument

As part of an ongoing technical training programme, three members of R A Medical Services; Janet & Chris Pickles and Lead Engineer James Throupe, recently visited the Porter Instrument Factory in Hatfield, Pennsylvania, USA.  They were made very welcome and during the course of the visit, Janet & Chris were presented with a plaque to mark 23 years from being appointed UK & Irish Distributor of Porter products in 1996.  As they also celebrated their 43rd Wedding Anniversary during the visit,... Read More...

NEBDN Syllabus Dental Sedation training

Students at the recent NEBDN Syllabus Dental Sedation training held at Kings College Hospital, with their R A Medical Educational Packs. Read More...

ISDAM Congress Glasgow 2019

Janet Pickles will be addressing the ISDAM Congress at The Royal College of Physicians and Surgeons, Glasgow, on Thursday22nd August 2019 with a talk entitled ‘Starting up with Sedation’ Read More...

Annual Symposium, Society of British Dental Nurses

Janet Pickles will be addressing dental nurses at the forthcoming Annual Symposium, Society of British Dental Nurses on the 6th April.  Her topic is ‘Digitalisation of Sedation in the 21st Century’ Society of British Dental Nurses Symposium 2019Download Read More...

British Association of Dental Nurses

R A Medical Services have been accepted as an affiliate member of the British Association of Dental Nurses.  Following a recent meeting with Pam Swain at the BADN HQ in Fleetwood, we look forward to working closely with the organisation to promote learning on the subject of inhalation sedation. Read More...

25 years in business

R A Medical Services are pleased to announce that February 2019 sees the 25th Anniversary of the Company being founded by Janet and Chris Pickles.  From a humble start on the dining room table (although with already 30+ years’ RA experience behind them) with just a phone and portable typewriter in February 1994, they rapidly progressed, gaining a significant customer base and moving into larger business premises in April 1995.  From that point, on, hard work and sustained growth saw them expand to cover all... Read More...

R A Medical Work Christmas celebrations 2018

R A Medical staff enjoying their Christmas celebrations and taking this opportunity to wish  all our customers a very Happy Christmas and a Prosperous 2019.     Read More...

Annual Christmas & New Year Closure 2018

R A Medical Services will be closed for our Annual two week shutdown from midday on Friday 21st December, reopening at 9am on 3rd January 2018.    No orders will be taken or processed during this period, although the answerphone will be monitored.   We would like to take this opportunity to wish all our customers a very Happy Christmas and Best Wishes for 2019   [caption id="attachment_823" align="aligncenter" width="840"] Christmas 2018[/caption]   Read More...