HARMONIC FOCUS™+ Long Shears
Operating in tight spaces or near critical structures demands precise energy delivery. The HARMONIC FOCUS™+ Long Shears is an ultrasonic advanced energy device that enables exceptionally precise energy delivery and dissection with strong sealing1-3A in open procedures with its curved, fine tip, slim profile4, and added length that allows access in deep anatomy.5B
About this device
The HARMONIC FOCUS™+ Shears is an advanced energy, ultrasonic device that is a sterile, single patient use instrument with a curved blade and clamp arm. The instrument allows for the cutting and coagulation of vessels up to and including 5mm in diameter. HARMONIC FOCUS™+ Long Shears consist of: an ergonomic scissor handle, 1 shaft length - 17cm in length with a 16mm active blade length.6
Specialties
Otorhinolaryngologic (ENT), Breast, General, Gynecologic, Pediatric, Plastic, and Urologic
Procedures
Endometriosis, Thyroidectomy, Lumpectomy and Hemorrhoidectomy
Economic evidence
HARMONIC FOCUS™+ Family of Curved Shears is associated with a reduction in total hospital reported costs in thyroidectomy compared with conventional methods.7
- 10% total cost reduction7
- $229 absolute reduction in mean baseline costs7
- 29 minute reduction in OR time8C
- 0.7 day reduction in length stay8D
Clinical evidence
HARMONIC FOCUS™+ Family of Curved Shears has been shown to provide a superior clinical advantage to conventional methods in thyroidectomy procedures by significantly reducing8:
- Intraoperative blood loss by 45mLE
- Drainage volume by 29mLF
Features & benefits
Access in deep spaces
HARMONIC FOCUS™+ Long Shears has a slimmer profile designed for improved visualization and precision in narrow spaces vs. LigaSure Atlas™ & LigaSure Blunt Tip.9G
Precise dissection
HARMONIC FOCUS™+ Long Shears has an ergonomic scissor-like design with a single jaw aperture for versatility in dissection.
Consistent seals
HARMONIC FOCUS™+ Long Shears has been shown to produce consistent and reliable seals.10H
Supporting documentation
Related products
HARMONIC FOCUS™+ Shears
When operating in tight spaces or near critical structures, precise energy delivery becomes vital. The HARMONIC FOCUS™+ is an ultrasonic advanced energy device that enables exceptionally precise energy delivery and dissection with strong sealing1-3A in open procedures with it curved, fine tip and slim profile.4
HARMONIC™ 700 Shears with Advanced Hemostasis
HARMONIC™ devices are a leader in Advanced Energy devices and the undisputed ultrasonic leader proven to minimize the impact on tissue with precise energy delivery.1,2A When operating in tight spaces or near critical structures, precise energy delivery becomes vital.
The HARMONIC™ 700 Shears elevate this legacy. Offering the same precision, versatility, and sealing confidence as the HARMONIC ACE™+7 Shears, while integrating improved Adaptive Tissue Technology and advanced temperature management for even better tissue protection3-7B for vessels up to and including 7mm in diameter.3C
HARMONIC™ 1100 Shears
When operating in tight spaces or near vital structures, precision is essential. HARMONIC™ stands unrivaled as the undisputed ultrasonic leader and proven to deliver minimal thermal impact on tissue1,2A with precise energy delivery.3,4 HARMONIC™ 1100 Shears, our most advanced ultrasonic device, delivers secure vessel sealing up to and including 7mm5-7, faster transection speeds, lower maximum blade temperatures, and more precise tissue dissection.8-12B
References
A. Sealing of ex vivo 5-7mm diameter porcine vessels showed median burst pressure of >1800 mmHg.
B. Compared to HARMONIC FOCUS+ Shears (17cm shaft vs. 9cm shaft length).
C. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced operative time (p<0.001).
D. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced length of stay (p=0.005).
E. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced intra-operative blood loss (p<0.001).
F. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced drainage volume (p=0.01).
G. Device measurements based on a metrology study of HARMONIC FOCUS+, Ligasure Atlas (LS1037) and Ligasure Blunt Tip (LF1637) (profile is defined as end effector distal width).
H. In a pre-clinical study, 100% (32/32) of porcine blood vessels remained hemostatic over a 30 day survival period.
- Ethicon, Project Gemini: Claim Rationale. 07/19/2022. Windchill Document #501001842.
Ethicon, HARMONIC™ 700 Shears Claims Rationale Design History File Memo for Project Gemini. 05/16/2022. Windchill Document #500951334.
Ethicon, Gemini Claims Testing - Burst Pressure/Sealing. 08/02/2022. Windchill Document #500648351.
Ethicon, Several HARMONIC FOCUS Long Curved Shears, 17cm Length (FCS17) approved claims shall also apply to HARMONIC FOCUS Long Shears+ Adaptive Tissue Technology, 17cm (HAR17F) based on similarity of design. 07/29/2015. Research & Development Memo.
Ethicon, Several HARMONIC FOCUS Long Curved Shears, 17cm Length (FCS17) approved claims shall also apply to HARMONIC FOCUS Long Shears+ Adaptive Tissue Technology, 17cm (HAR17F) based on similarity of design. 07/16/2020. Research & Development Memo.
HARMONIC FOCUS™+ Long Shears Instructions for Use. Ethicon, Inc.
Cheng H, Soleas I, Ferko N, Cameron C, Clymer J, Amaral J. Hospital costs associated with thyroidectomy performed with a Harmonic device comp-ared to conventional techniques: a systematic review and meta-analysis. Journal of Medical Economics. 2016;19:1-9
Cheng H, Soleas I, Ferko N, Clymer J, Amaral J. A systematic review and meta-analysis of Harmonic Focus in thyroidectomy compared to conventional techniques. Thyroid Research. 2015;8:1-13
Ethicon, Nitro (HAR17F) Marketing Claims - Measurements. 07/21/2015. Windchill Document #PRC071498
Ethicon, Final Report: Project Nitro HARMONIC HAR17F Open Shears: Design Verification Chronic (30 day) Survival Study in the Pig. 09/22/2016. Windchill Document PSP004257
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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