Unlike analogue systems, Thopaz+ continuously and objectively measures air leak and fluid drainage. This facilitates the assessment of patients' progress as well as the standardisation of chest drainage management across different departments.1 Clinical data has demonstrated that Medela’s Thopaz+ takes chest drainage therapy to a new level of care.2,3
*Monitoring of fluid drainage, air leak and pressure
Efficiency that transforms recovery
Proven economic value.
Mobilize early. Recover faster
Thopaz+ Digital Chest Drainage and Monitoring System
Medela Thopaz+ training for the Operating Room
Medela Thopaz+ user-specific training video for the operating room.
This video is for demonstration use only and in no way replaces the IFU.
Medela Thopaz+ technical training
Short and simple setup and training videos that will ensure you become a confident and knowledgeable Thopaz+ user.
This video is for demonstration use only and in no way replaces the IFU.
Medela Thopaz+ training for post-anesthesia care unit
Medela Thopaz+ user-specific training video for post-anesthesia care unit, intensive care unit, and ward.
This video is for demonstration use only and in no way replaces the IFU.

Disposable canisters
Available in 300ml, 800ml and 2-litre capacities to optimise drainage procedure and reduce the amount of biohazardous waste.
All three sizes are available with or without solidifier, providing a hygienic and cost-effective option for disposing of patient fluid disposal.

Tubing
The dual-lumen tubing provides continuous pressure monitoring close to the patient’s chest to provide early warning of potential harmful situations.
Two types of connectors are available (single or double) in small, medium or large sizes to match the chest tube being used.
All Thopaz+ tubing connectors contain a port for convenient sampling of drainage fluid.

Docking Station
The docking station for Thopaz+ generally requires one-time set up, allowing the device to be recharged without the need to handle cables and an external power adapter. Can be equipped with adapter for the 2 l canister.

Holder with Standard Rail
For the easy attachment of Thopaz+ to rails, beds or IV poles. Can be fixed vertically or horizontally.

Universal Holder with Flexible Standard Rail
For the easy attachment of Thopaz+ to rails, beds or IV poles. Infinitely variable adjustment of rail inclination (360°).

Carrying strap
The carrying strap for Thopaz+ offers the patient convenience, comfort and full mobility
Brochure Thopaz+ system PDF, 1021 KB
Instructions for use Thopaz+ PDF, 19 MB
ERAS flyer PDF, 522 KB
Clinical Guidelines for Managing Patients with Thopaz+ PDF, 1.15 MB
Healthcare accessories catalogue PDF, 2.12 MB
Install ThopEasy+ Software
Watch the videos below to find out more about the product and how best to use it

Patients discharged early reported a better recovery experience, supporting POD 1 discharge as a safe and effective strategy in selected cases.
This study evaluated the safety and recovery quality of discharging patients on postoperative day 1 (POD 1) after subxiphoid thoracoscopic anatomic lung resection within an ERAS program and a digital drainage protocol.
Among 201 patients, 56% were safely discharged on POD 1, with low complication and readmission rates. Early chest tube removal (air leak < 20 ml/min for 4h without liquid threshold) and opioid-free pain control were key factors.

Thopaz+ supports a shift toward minimal or no routine chest drain use, even for major lung surgeries, to enable faster recovery and potential same-day discharge.
New literature review explores optimal timing for chest drain removal after anatomic lung resection. It highlights that using air leak alone - measured digitally - as the main criterion allows for safe removal by postoperative day 1 in most cases.

Real-world experience with Thopaz+, the Oxford University Hospitals NHS Foundation Trust experience
At Oxford University Hospitals NHS Foundation Trust, Thopaz+ has demonstrated significant clinical and operational benefits far beyond cardiothoracic surgery. Its adoption across respiratory medicine, critical care (CCU/ICU), trauma, gastroenterology, pediatrics, and neurosciences highlights its versatility and impact in managing chest drainage across diverse patient populations.
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