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
About this device
The HARMONIC FOCUS™+ Shears is an ultrasonic energy device that is a sterile, single patient use instrument with a curved blade and clamp arm. The HARMONIC FOCUS™+ Shears instrument allows for the cutting and coagulation of vessels up to and including 5mm in diameter. The instrument is 9 cm in length with a 16mm active blade length.4
Specialties
Ears, Nose and Throat (ENT), General, Gynecologic, Pediatric, Plastic, and Urologic
Procedures
Thyroidectomy, Glossectomy, Parotidectomy, Radical Neck. Electrosurgery, sealing and transection of lymphatic vessels, and other open and endoscopic procedures
Economic evidence
HARMONIC FOCUS™ Family of Curved Shears is associated with a reduction in total hospital reported costs in thyroidectomy compared with conventional methods.5
- 10% total cost reduction5
- $229 absolute reduction in mean baseline costs5
- 29 minute reduction in OR time6B
- 0.7 day reduction in length stay6C
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 reducing6:
- Intraoperative blood loss by 45mLD
- Drainage volume by 29mLE
Features & benefits
Precision
The curved, tapered tip allows for precision and speed when transecting tissue in head and neck procedures.7,8
Visualization
With a smaller profile, HARMONIC FOCUS™+ was designed for improved visualization in narrow spaces.8
Heat reduction
HARMONIC FOCUS™+ Shears, featuring Adaptive Tissue Technology, enable greater surgical precision and performance.9F HARMONIC FOCUS™+ provides superior heat management, which may reduce the risk of unintended thermal tissue damage compared to Thunderbeat Open Fine Jaw.10G
Learn how to use this device
Supporting documentation
Related products
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
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. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced operative time (p<0.001).
C. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced length of stay (p=0.005).
D. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced intra-operative blood loss (p<0.001).
E. Based on a meta-analysis of HARMONIC FOCUS™ (HF) versus clamp, cut and tie, where HF reduced drainage volume (p=0.01).
F. As compared to HARMONIC™ Devices without Adaptive Tissue Technology.
G. Benchtop testing on porcine jejunum. Thunderbeat Open Fine Jaw (TB0009OF) (Seal and Cut mode) 34% hotter vs. HARMONIC FOCUS™+ (MAX mode). Average temperature (OC) measured via infrared camera on the inactive clamp arm, immediately proximal from the active blade (n=20, p<0.0001).
- 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.
- HARMONIC FOCUS™+ 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, Nighthawk Transection Time and Tone Accuracy Design Verification. January 22, 2014. Windchill Document #PRC063415B.
- 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, Memorandum:HAR & ACE Size and Adaptive Tissue Technology Comparison Intra-operative and Histopathology. 06/29/2017. Windchill Document #PSP005693.
- Ethicon, Lifecycle Harmonic Olympus Thunderbeat Fine Jaw Discovery Testing - Clamp Arm Temperature. 11/19/2015. Windchill Document #PRC073043.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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