Document Detail

Evaluation of an Innovative, Cordless Ultrasonic Dissector.
MedLine Citation:
PMID:  23302577     Owner:  NLM     Status:  Publisher    
Ultrasonic thermal energy is commonly used for dissection and vessel ligation. This study compared HARMONIC ACE and Sonicision Cordless Ultrasonic Dissector (SCUD). The devices were used in an in vivo porcine model to coagulate 189 arteries up to 5 mm. Seal times were similar: SCUD, 5.2 ± 1.7 s; ACE, 4.9 ± 1.5 s (P = .20). Burst pressures for SCUD and AVE were 578 ± 284 and 605 ± 288 mm Hg, respectively (P = .48). Stratification by vessel diameter yielded similar results. In all, 17 applications resulted in seal failure on either the proximal or distal side, with no difference between SCUD (4.4%) and ACE (6.6%; P = .37). Histological examination of 48 specimens showed similar thermal spreads: 1.06 ± 0.05 versus 1.08 ± 0.05 mm for SCUD and ACE, respectively (P = .82). In 41 timed mesenteric transections, SCUD required 24.8 ± 4.9 s, which was significantly less than the 33.8 ± 5.4 s for ACE (P < .0001), with no bleeding in either group. SCUD and ACE showed similar vessel seal times, burst pressures, thermal spreads, and seal failure rates. SCUD was more efficient than ACE in mesenteric transection.
Victor B Tsirline; Kelvin N Lau; Ryan Z Swan; Paul N Montero; David Sindram; John B Martinie; David A Iannitti
Related Documents :
10723117 - Blood pressure control in subjects with type 2 diabetes.
18451807 - Risk for obstructive sleep apnea by berlin questionnaire, but not daytime sleepiness, i...
14656957 - Seventh report of the joint national committee on prevention, detection, evaluation, an...
16942927 - Masked hypertension and target organ damage in treated hypertensive patients.
600127 - Mast pneumatic trousers: a mechanical device to support blood pressure.
14753437 - Iodoamphetamine (imp) uptake in the brain is increased after experimental cerebral veno...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-8
Journal Detail:
Title:  Surgical innovation     Volume:  -     ISSN:  1553-3514     ISO Abbreviation:  Surg Innov     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233809     Medline TA:  Surg Innov     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1Carolinas Medical Center, Charlotte, NC, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Functional capacity and assistance from the caregiver during daily activities in Brazilian children ...
Next Document:  Chromosomal and plasmid-mediated fluoroquinolone resistance mechanisms among broad-spectrum-cephalos...