Ultrasonic, bipolar, and integrated energy devices: comparing heat spread in collateral tissues

Applewhite, Megan K.; White, Michael G.; James, Benjamin C.; Abdulrasool, Layth; Kaplan, Edwin L.; Angelos, Peter; Grogan, Raymon H.

doi:10.1016/j.jss.2016.06.077

Cited by 30 publications

(25 citation statements)

References 8 publications

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“…The bipolar sealing effect can be used independently for a better hemostatic result without cutting. The two technologies, working together at the same time, develop a higher working temperature on the blades and a higher thermal spread, which are balanced by the shorter time of application on tissue (8). This device can be used safely at 3 mm from the recurrent laryngeal nerve but must be used for less than 8 s at more proximal locations (6).…”

Section: Hybrid Technologymentioning

confidence: 99%

Prevention and management of bleeding in thyroid surgery

Materazzi¹,

Ambrosini²,

Fregoli³

et al. 2017

Gland Surg.

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Section: Hybrid Technologymentioning

confidence: 99%

Prevention and management of bleeding in thyroid surgery

Materazzi¹,

Ambrosini²,

Fregoli³

et al. 2017

Gland Surg.

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“…It can grasp the tissue with uniform pressure, and the burst pressure is significantly high, which can safely seal vessels smaller than 7 mm in diameter. The maximum temperature during activation with hybrid ultrasonic/bipolar energy device (200°C) was lower than that with electrocautery (>300°C) and as similar as other ultrasonic devices (200°C) 6,8 . Therefore, less thermal damage to tissues can be expected.…”

Section: Discussionmentioning

confidence: 80%

Harvest of the right gastroepiploic artery graft using a novel hybrid ultrasonic/bipolar energy device

et al. 2020

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Background: The right gastroepiploic artery (RGEA) is a useful in-situ graft, and skeletonization is effective to prevent spasm and achieve good patency. To harvest the skeletonized RGEA easily, ultrasonic scalpel has been widely used, but the tip shape of conventional ultrasonic device was not optimal for this procedure.Recently, a novel hybrid ultrasonic/bipolar energy device (THUNDERBEAT Open Fine Jaw [TOFJ]) has been developed and is widely used in general surgery.Surgical Technique: The operator holds forceps in left hand and TOFJ in right hand, incises the anterior layer of the omentum, and extends the incision distally along the RGEA. The side branches and satellite veins were sealed and cut. Because the tip of the TOFJ is well-designed to easily grasp and peel off the tissue, there is no need to change instruments throughout the procedure. After the dissection was advanced distally, the proximal side was subsequently dissected.Conclusions: This novel device is useful for harvesting skeletonized RGEA. K E Y W O R D S coronary artery bypass grafting, gastroepiploic artery, harvesting technique, hybrid ultrasonic/bipolar energy device, THUNDERBEAT

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“…[7][8][9] Factors influencing the tissue effect are the duration of the application, the power setting of the device, and the distance from the probe to the tissue. 10 Therefore, CAHP technology has been introduced in recent years to ameliorate these disadvantages. The cold plasma effect is highly localized, minimizing temperature levels and collateral damage to surrounding healthy tissue.…”

Section: Discussionmentioning

confidence: 99%

Utilization of low-temperature helium plasma (J-Plasma) for dissection and hemostasis during carotid endarterectomy

Filis

Galyfos

Sigala

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Herein we report nine cases of carotid endarterectomy in which we used a cold atmospheric helium plasma device (J-Plasma; Apyx Medical Corporation, Clearwater, Fla). Although clinical reports are limited, experimental data indicate that this technology could be used for dissection and coagulation during surgery, yielding limited adjacent tissue damage. As a result, it could be extremely useful in procedures like carotid endarterectomy that necessitate careful dissection and coagulation with limited damage of adjacent neurovascular structures. (J Vasc Surg Cases and Innovative Techniques 2020;6:152-5.)

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Ultrasonic, bipolar, and integrated energy devices: comparing heat spread in collateral tissues

Cited by 30 publications

References 8 publications

Prevention and management of bleeding in thyroid surgery

Prevention and management of bleeding in thyroid surgery

Harvest of the right gastroepiploic artery graft using a novel hybrid ultrasonic/bipolar energy device

Utilization of low-temperature helium plasma (J-Plasma) for dissection and hemostasis during carotid endarterectomy

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