Thopaz+ digital chest drainage system for use after surgical or non-surgical thoracic procedures
Find out how Thopaz+ accelerates chest drain removal, shortens ICU length of stay, and reduces overall costs.
Dominant Flex and Basic surgical suction pumps
Designed for use in hospitals, clinics and doctor's practices, the Dominant Flex and Basic pumps are the optimal medical suction pumps for all suctioning needs.
Efficiency that transforms patient recovery1-3. Clinically proven reduction of drainage duration and length of hospital stay4-9
Proven economic value6,9-12. Lower costs through improved outcomes. A value-based solution that delivers.
Mobilize early4,13. Recover faster4-9. Designed for early mobilization - compact, lightweight and battery-powered
Empowering evidence-based decisions4,6,7,14,16,17. Objective real-time data with trending charts on display elevate confidence in chest drain management
Redesigning safety in chest drain management6,15. Smart and real-time notifications keep clinicians informed and patients safe.
Wherever. Whenever. Hospital-wide. Always Ready. Fully adaptable with 3 canister sizes and selectable regulated pressure settings for your clinical chest drainage needs within the hospital.
Videos
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Thopaz+ Digital Chest Drainage and Monitoring System
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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.
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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.
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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.
Accessories & Disposables
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.
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
Watch the videos below to find out more about the product and how best to use it
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Thopaz+ Diagital Chest Drainage and Monitoring System
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Medela Thopaz+ training for the Operating Room
Medela Thopaz+ user-specific training video for the operating room.
Please accept the marketing-cookies to watch videos.
Medela Thopaz+ Training for physicians
This short and simple video shows a training for physicians using Thopaz+. This video is for demonstration use only and in no way replaces the IFU.
Please accept the marketing-cookies to watch videos.
Thopaz+ Express In-Service
This video will provide you with the info required to set up and operate the most commonly used features on the Thopaz+ Digital Chest Drainage System. This video is for demonstration use only and in no way replaces the IFU.
Please accept the marketing-cookies to watch videos.
Medela Thopaz+ training for post-anesthesia care unit
This video is for demonstration use only and in no way replaces the IFU.
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.
Make day 1 discharge a reality!
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.
Time to rethink your chest drain removal criteria!
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.
Revolutionize your chest drain management. Across all departments!
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.
Proven clinical benefits versus traditional chest drainage systems:
1. Bauerle WB, Hamlin S, Dubois S, et al. Impact of liposomal bupivacaine on enhanced recovery after surgery protocol for lung resection. Ann Thorac Surg 2025;119(1):219-26. 2. George RS, Papagiannopoulos K. Advances in chest drain management in thoracic disease. J Thorac Dis 2016;8:S55-64. 3. Pérez-Egido L, García-Casillas MA, Simal I, et al. Digital thoracic drainage: a new system to monitor air leaks in pediatric population. J Pediatr Surg 2019;54(4):693-695. 4. Pompili C, Detterbeck F, Papagiannopoulos K, et al. Multicenter international randomized comparison of objective and subjective outcomes between electronic and traditional chest drainage systems. Ann Thorac Surg 2014;98:490–6. (Thopaz vs traditional drainage systems) 5. Mesa-Guzman M, Periklis P, Niwaz Z, et al. Determining optimal fluid and air leak cut off values for chest drain management in general thoracic surgery. J Thorac Dis 2015;7:2053-7. (Thopaz vs traditional drainage systems) 6. Evans JM, Ray A, Dale M, et al. Thopaz+ portable digital system for managing chest drains: A NICE Medical Technology Guidance. Appl Health Econ Health Policy 2019;17(3):285–94. (Thopaz vs traditional drainage systems) 7. Jacobsen K, Talbert S, Boyer JH. The benefits of digital drainage system versus traditional drainage system after robotic-assisted pulmonary lobectomy. J Thorac Dis 2019;11(12):5328–5335. (Thopaz vs traditional drainage systems) 8. Palleiko BA, Singh A, Strader C, et al. Clinical outcomes and staff satisfaction after adoption of digital chest drainage system for minimally invasive lung resections. J Thorac Dis 2024;16(5):2963. (Thopaz vs traditional drainage systems) 9. Patel C, Ruppert SD, Cao H, et al. Use of a Digital Air Leak Detection Device to Decrease Chest Tube Duration. Crit Care Nurse 2023;43(6):11-21. (Thopaz vs traditional drainage systems) 10. Han S, Du S, Jander C, et al. The impact of an enhanced recovery after surgery pathway for video-assisted and robotic-assisted lobectomy on surgical outcomes and costs: a retrospective single-center cohort study. J Robot Surg 2023;17(3):1039-48. (ERAS + Thopaz vs non-ERAS without Thopaz) 11. Jablonski S, Brocki M, Wawrzycki M, et al. Efficacy assessment of the drainage with permanent airflow measurement in the treatment of pneumothorax with air leak. Thorac Cardiovasc Surg 2014;62:509–15. (Thopaz vs traditional drainage systems) 12. Yagi S, Miwa H, Kono M, et al. Comparison of clinical utility between digital and analog drainage systems in patients with spontaneous pneumothorax. Resp Investig 2022;60(6):840-6. (Thopaz vs traditional drainage systems) 13. Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg 2018;doi:10.1093/ejcts/ezy301. (Digital vs analog drainage systems) 14. Yang TY, Wu CY, Hsieh MJ, et al. Association of Wearable Activity Monitors and Digital Drainage Device With Daily Ambulation and Length of Stay Among Pulmonary Resection Patients: A Prospective, Randomized Controlled Study. Thoracic Cancer 2025;16(14):e70132. (Thopaz vs traditional drainage systems) 15. Rathinam S, Bradley A, Cantlin T, et al. Thopaz portable suction systems in thoracic surgery: an end user assessment and feedback in a tertiary unit. J Cardiothorac Surg 2011;6:59. (Thopaz vs traditional drainage systems) 16. Pfeuty K, Lenot B. Early postoperative day 0 chest tube removal using a digital drainage device protocol after thoracoscopic major pulmonary resection. Interact CardioVasc Thorac Surg 2020; doi:10.1093/icvts/ivaa170. 17. Khader AA, Pons A, Palmares A, et al. Are chest drains routinely required after thoracic surgery? A drainology study of on-table chest-drain removals. JTCVS open. 2023;16:960-4.
Customer Reviews
"The use of Thopaz+ can take the surgeon beyond the 24-hour limit for drain removal, using criteria in minutes rather than days.
It also facilitates safe day-case thoracic surgery and is an essential component of a modern thoracic surgery programme"
Professor Eric Lim MB ChB MD MSc FRCS(C-Th), Consultant Thoracic Surgeon, Royal Brompton Hospital Professor of Thoracic Surgery, Imperial College London
"Our experience with Thopaz+ has completely changed our patient's monitoring, allowing us to know their status hour by hour as if we were at their side 24 hours a day. With this, we have achieved a shorter hospital stay with the maximum level of assurance at discharge."
Concepción Partida González, Thoracic Surgeon. University Hospital La Paz, Madrid, Spain
"Thopaz+ allows complete patient mobility and independence while the chest drain is still in situ, thereby realizing the full potential of the minimally invasive surgery we are performing"
Dr. Alan Sihoe, Clinical Associate Professor, Department of Surgery, The University of Hong Kong
"The use of Thopaz+ can take the surgeon beyond the 24-hour limit for drain removal, using criteria in minutes rather than days.
It also facilitates safe day-case thoracic surgery and is an essential component of a modern thoracic surgery programme"
Professor Eric Lim MB ChB MD MSc FRCS(C-Th), Consultant Thoracic Surgeon, Royal Brompton Hospital Professor of Thoracic Surgery, Imperial College London
"Our experience with Thopaz+ has completely changed our patient's monitoring, allowing us to know their status hour by hour as if we were at their side 24 hours a day. With this, we have achieved a shorter hospital stay with the maximum level of assurance at discharge."
Concepción Partida González, Thoracic Surgeon. University Hospital La Paz, Madrid, Spain
"Thopaz+ allows complete patient mobility and independence while the chest drain is still in situ, thereby realizing the full potential of the minimally invasive surgery we are performing"
Dr. Alan Sihoe, Clinical Associate Professor, Department of Surgery, The University of Hong Kong
Medela's Thopaz+ takes chest drainage therapy to a new level of care. This simulator helps you to become familiar with Thopaz+ and its advanced functions.
