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Energy Sealing & Dissecting
Energy Sealing & Dissecting
Healing comes first for healthcare providers. That’s why Ethicon Energy is dedicated to delivering energy solutions for our customers to help patients heal faster and protect their teams from OR risks. We improve patient outcomes by making complex surgeries easier, more efficient and less invasive through tissue-specific energy delivery.
IMAGES
Clinical and Economic Value
Clinical Evidence
Ethicon HARMONIC™ and ENSEAL™ technologies are supported by more peer-reviewed publications than any other advanced energy manufacturer combined.A We understand that surgeons, nurses and administrators aim to deliver positive surgical outcomes while improving efficiency and OR safety. Ethicon energy devices may help reduce surgical burdens through optimized energy delivery minimizing tissue damage.1
Economic Evidence
Ethicon energy solutions are designed to increase efficiency in the operating room, reduce complications, and minimize hospital costs. Portfolio-wide adoption of Ethicon energy devices may result in, on average, $101 per procedure cost savings due to reduced OR time and shorter patient hospital stays versus other energy devices.2
Surgical Burdens Associated with Tissue Dissection and Sealing Using Energy Devices
Bleeding Complications
Perioperative bleeding occurs in 7%-13% across surgeries,B,3 which can lead to extended hospital stays that can cost up to $1,118 per day.4
Tissue Damage
All energy devices have a thermal envelope where tissue damage can occur. It is important to take into account factors such as compression, heat and time to optimize energy delivery.
Burns
29% of all energy-based device complications reported to the FDA are pad-site burns. The risk of a pad-site burn injury is increased when the current is concentrated.5
Surgical Smoke
Surgical smoke is a byproduct of electrosurgical devices. It contains small particles (<2.0μm) able to get into deep parts of the lung6 and can cause acute and chronic health effects.7
Secure Sealing
ENSEAL™ X1 Tissue Sealers deliver secure and efficient sealing to help drive the best possible patient outcomes. ENSEAL X1 devices provided first pass hemostasis on 100% of vessels sealed and maintained a reliable seal during elevated blood pressure challenge in preclinical testing.8
Precise Energy Delivery
HARMONIC™ Shears are ultrasonic devices which deliver a unique type of energy to the tissue, which helps protect surrounding tissue and vital structures from being damaged.9,10 HARMONIC™ 1100 Shears with Adaptive Tissue Technology is the latest in Ethicon ultrasonic energy portfolio with up to 7mm vessel sealing and is designed to optimize clinical outcomes through precise energy delivery.
Minimize Pad Site Burns
Over 80% of all surgical procedures use energy devices,11 and these procedures require a return patient electrode or “sticky pad” which can cause patient pad-site burns and skin adhesive injuries.12 MEGADYNE™ MEGA SOFT™ Reusable Patient Return Electrodes minimize pad-site burns by limiting heat build-up.13
Minimize Exposure to Surgical Smoke14
MEGADYNE™ Smoke Evacuator begins to capture smoke nearly instantaneously after activation.15 The filter is designed to capture particulate and microorganisms of 0.1-0.2 microns at 99.999% effectiveness.16
Resources
References
A. As per literature searches for advanced energy devices in Embase/Medline, PubMed, and Google Scholar through May 2021. (112287‐210609)
B. Across lung lobectomy, total hysterectomy, lower anterior resection, and liver wedge resection.
1. Based on preclinical studies of Adaptive Tissue Technology and GEM Technology. (169772‐210308).
2. Budget Impact Model analysis comparing portfolio‐wide adoption of Ethicon energy devices versus other non‐Ethicon manufactured energy devices in a typical hospital performing 8,000 annual electrosurgery procedures across five specialties (bariatric, colorectal, thoracic, gynecology, and general surgery). Ferko N, et al. A device category economic model of electrosurgery technologies across procedure types: a U.S. hospital budget impact analysis. J Med Econ. 2021 Jan‐ Dec;24(1):524‐535. (228377‐220928)
3. Kalsekar I, Hsiao C-W, Cheng H, et al. Economic burden of cancer among patients with surgical resections of the lung, rectum, liver and uterus: results from a US hospital database claims analysis. Health Economics Review. 2017;7(1).
4. Chen BP, Clymer JW, Turner AP, Ferko N. Global hospital and operative costs associated with various ventral cavity procedures: a comprehensive literature review and analysis across regions. J Med Econ. 2019;22(11):1210-1220.
5. Overbey DM, Townsend NT, Chapman BC, et al. Surgical Energy-Based Device Injuries and Fatalities Reported to the Food and Drug Administration. Journal of the American College of Surgeons 2015;221:197-205 e1.
6. Tarav Ella MJ, Viega J, Luiszer F, Drexler J, Blackburn P, Hov land P, et al. Respirable particles in the excimer laser plume. J Cataract Ref ract Surg. 2001;27:604–7
7. NIOSH Study Finds Healthcare Workers’ Exposure to Surgical Smoke Still Common. Nov 3, 2015. (075012-190205)
8. 112 of 112 vessels sealed successfully on first pass in an acute porcine model. All seals maintained hemostasis during blood pressure challenge. During blood pressure challenge, systolic blood pressure was increased to at least 200 mmHg for a minimum of 10 minutes to simulate a hypertensive crisis. (095317-200519)
9. Based on benchtop study that showed Harmonic 1100 had 35% faster transection speed and significantly lower maximum blade temperature post transection than Harmonic ACE+7 Shears for shorter heat exposure.(140047-200512)
10. (065259‐211027)
11. The Art of Electrosurgery: Trainees and Experts. Meeuwsen FC et. al Surg Innov. 2017 Aug;24(4):373-378
12. Bae HS, Lee MY, Park JU. Intraoperative burn from a grounding pad of electrosurgical device during breast surgery: A CARE-compliant case report. Medicine (Baltimore). 2018;97(1):e8370. doi:10.1097
13. (126606-191029)
14. (120892-190815)
15. Within an average of 1/4 second to ramp up to 60 LPM (or steady state) at Max setting in Open mode. Within an average of 1/2 second to ramp up to 15 LPM (or steady state) in Lap mode. (146610‐220712).
16. (100299‐181008)
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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