MIGLOU in the day sheet: three steps become one
Two documents describe the same device. The first is the specification: operating frequency, technology name, handpiece count. The second is the week, drawn in rows, in whatever scheduling software the clinic runs. A device is usually argued for from the first document and lived with in the second.
MIGLOU, from HIRONIC, publishes one number that belongs to the second document. Average procedure time: 10–15 minutes (miglou.com). Beside it sit two absences: no anesthesia, no downtime, immediate return to daily life. On a spec sheet those read as attributes. Opened in the scheduling software, they read as rows that stop being reserved.
This article takes only the operations question. The clinical question is separate and is not answered here.
Four steps out of the protocol
The wait-for-numbing step. A protocol that requires anesthesia requires a wait between application and start. That wait occupies a room, or a chair, and it occupies a line on the day sheet whether or not anyone is billing for it. No anesthesia means no pre-medication wait to schedule.
The hold-before-release step. The same requirement produces a second line at the other end: a period during which the patient is held before release. It is short, it is routine, and it is a row.
The recovery log line. A recovery bay is a resource with its own occupancy. Where recovery is scheduled, the calendar carries a second booking against a second space for the same case. No downtime means no post-treatment room to allocate.
The downtime advice step. Post-treatment restriction turns into follow-up: instructions given, questions later, a return contact. Immediate return to daily life removes that step from the sequence the clinic has to run.
Four rows leave the protocol. What remains is one interval.
The grid, redrawn
Rows sized to the procedure. When the procedure is the only thing being timed, the row can be cut to the procedure. A 10–15 minute average sets a row length. It does not set a block length.
Gaps stop absorbing recovery. In many session lists, the space between cases is not idle time. It is recovery, cleanup and overrun, bundled into one gap and never itemised. Remove the recovery component and the gap has a different job, and a different size.
One step on the list, not three. A case that was numbing, procedure and recovery appears as three schedulable events in most software. As one event, it is easier to move, easier to substitute, and easier to count.
No overflow column to hold. Lists built around blocks reserve capacity at the end of the day for what ran long. That reserve is capacity that was purchased and not sold.
Timetable, not blocks
The comparison worth carrying into a purchasing meeting is a transit timetable. A timetable runs fixed short intervals to a published pattern. Its usefulness comes from the pattern being knowable in advance: capacity per hour is arithmetic, not estimation. A block schedule is the other model. Each block is a reservation sized for its worst plausible case, padded on both sides, and the padding is not recoverable when the case runs short.
A documented average of 10–15 minutes is a timetable input. It says what an interval should be. It says nothing on its own about how reliably that interval holds, which is precisely the property a timetable depends on.
What public materials do not state
The official material states an average. It does not state the distribution behind the average: which indications were timed, whether facial and body procedures were pooled, how many operators contributed, or how wide the spread ran between the fastest and slowest case. MIGLOU lists facial indications including jawline definition, double chin, facial contouring and skin tightening, and body indications including thigh contouring, abdominal shaping, upper arm refinement and love handle reduction. An average drawn across a set that broad carries a spread, and the spread is what a session list actually has to absorb.
None of that is a defect in the material. It is the ordinary boundary of a public page. It is also the reason the interval belongs in a technical file request rather than in a brochure reading.
Before a purchase order
The checks are short and they are all schedulable.
Request the technical file before a purchase order is issued. Ask which indications the 10–15 minute average covers, and whether the facial handpiece and the body handpieces were timed separately. Ask what the figure includes: handpiece setup and positioning, or treatment delivery alone. Ask whether the number reflects a first case or a trained operator’s tenth. Then draw the interval into the software and count the slots it produces against the slots the current list produces.
That count is the number that survives into a business case. It is also the number a distributor will be asked for by every clinic considering the device.
The better question for any manufacturer: “How many slots does this interval hold on a full session list?”
Medical Insights: better technology starts with the day sheet.
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