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Transcript of ISOCOOL Bipolar Forceps - synthes.vo.llnwd.netsynthes.vo.llnwd.net/o16/LLNWMB8/US Mobile/Synthes...
ISOCOOL®
Bipolar ForcepsA revolutionary instrument designed for procedures requiring critically precise temperature control to reduce sticking and charring while coagulating.
F O C U S I N G O N W H AT M AT T E R S M O S T
RESpONdING TO THE NEEdS OF THE SURGEON
Through our long-standing worldwide partnerships with the
neurosurgical community, we learned that excess heat at the tips of
bipolar forceps causes a number of concerns. Most evident is sticking
and charring, which can tear delicate tissue. What’s more, excess heat
also causes inadvertent peripheral tissue damage as well as necrosis of
valuable tissue in the surrounding area. As a result, surgeons have had
to adjust their techniques.
At Codman Neuro, we knew a revolutionary solution was required. And
what we developed is proving to be a milestone in bipolar forceps use.
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LEAdING EdGE ELECTROSURGERY: The Origin of Active Heat Transfer® Technology
Surgeons identified sticking and charring as a major problem
during electrosurgical procedures. This is caused by excess heat
buildup at the tips of traditional bipolar forceps, regardless of the
metals used or amount of irrigation added to the site. Together
we began to focus on proprietary heat pipe technology that
could effectively control the heat output at the tips while allowing
effective tissue coagulation temperatures to be achieved.
Our solution is Active Heat Transfer® (AHT) Technology. It
continuously transfers excess heat away from the tips and allows
effective coagulation temperatures to be achieved. The ISOCOOL
Bipolar Forceps from Codman Neuro virtually eliminates sticking
and charring of delicate tissue, minimizing the need to remove
the forceps from the surgical site, clean them, and then reorient.
The result? Surgeons can perform more efficiently and benefit
from minimal tip contact temperature and thermal spread in the
surrounding tissue.
The Science of Controlled Heat Infrared Photography of Traditional Bipolar Forceps Tip and ISOCOOL Bipolar Forceps Tip
ISOCOOL Bipolar Forceps stay cool and controlled
AHT allows ISOCOOL Bipolar Forceps Tips to achieve effective coagulation temperatures. At 35 Malis Units, the tips maintained temperatures of approximately 55-65 degrees C.
Competitive bipolar forceps shows excess heat
With the bipolar generator set to 35 Malis units, the tissue temperature escalated to well over 75 degrees C and heat was visibly dispersed beyond the tips of the forceps.
Virtually no sticking
With minimal tissue adhesion,
ISOCOOL® Bipolar Forceps significantly
reduces the need to clean during the
procedure.
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THE SCIENCE BEHINd ACTIVE HEAT TRANSFER AHT Technology actively draws excess heat away from the tips allowing for effective coagulation temperatures to be achieved.
Enlarged diagram of AHT Technology from the tip to the interior heat pipe
INSIdE THE HEAT pIpE, AHT ENABLES A CONTINUOUS CYCLE OF VApORIzATION, TRANSpORT, CONdENSATION, ANd RETURN.
Here’s how it works:
• The heat pipe consists of a vacuum-sealed tube injected with a small amount of two-phase working fluid.
• The heat generated at the distal end of the tip is immediately drawn into the tube’s fluid and vaporized at the point of heat input.
• The vapor travels due to the positive pressure gradient created by the vaporization to the proximal end of the tube, where the vapor
condenses into the wicking structure.
• The wicking structure allows the cooled, condensed working fluid to return to the distal end of the tip by capillary action, even
working against gravity.
Enlarged wicking structure
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pROCEdURE BENEFITS ISOCOOL Bipolar Forceps sterile, single-use gold tips are designed for procedures requiring precise temperature control .
SIX REASONS WHY ISOCOOL BIpOLAR FORCEpS ARE AN EXTREMELY VALUABLE INSTRUMENT FOR TISSUE COAGULATION. The ISOCOOL Bipolar Forceps advantages
In the most delicate procedures, there is no room for error
- instrumentation must be of the highest quality. ISOCOOL
Bipolar Forceps don’t compromise. By incorporating
the Active Heat Transfer Technology along with our
gold plated tips, surgeons now have an instrument that
enhances their ability to coagulate tissue.
Continuous coagulation virtually eliminates interruptions
Enhances ability to coagulate delicate tissue in fine detail
Reduces surgeon frustration and fatigue, leading to increased efficiency
Can eliminate vessel rebleeding
Can reduce inadvertent collateral and peripheral tissue damage
Shorter procedures are a benefit to surgeons, hospitals and ultimately the patient
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CONFIRMING THE SURGICAL NEEd FOR ISOCOOL BIpOLAR FORCEpS TECHNOLOGY: Neurosurgery 53:907-934, 2003
THE ISOCOOL BIpOLAR FORCEpS ISOCOOL Bipolar Forceps address the most critical requirements of Neurosurgery.
“The bipolar electrocoagulator has become fundamental to neurosurgery because it allows accurate fine coagulation of small vessels,
minimizing the dangerous spread of current to adjacent neural and vascular structures. It allows coagulation in areas where unipolar
coagulation would be hazardous, such as near the cranial nerves, brainstem, cerebellar arteries, or fourth ventricle.
To avoid sticking after coagulation, the points of the forceps should be cleaned after each application to the tissue. If charred blood coats
the tips, it should be removed by wiping with a damp cloth rather than by scraping with a scalpel blade, because the blade may scratch
the tips.
Shortening of exposure times tends to reduce the buildup of heat and thermal effects on tissues adjacent to the target.”
Albert L. Rhoton, Jr., M.d.
The ISOCOOL Bipolar Forceps from Codman Neuro virtually eliminate
sticking and charring of delicate tissue, minimizing the need to remove
forceps from the surgical site, clean them, and then reorient.
Surgeons can perform more efficiently and benefit from minimal tip
contact temperature and thermal spread in the surrounding tissue.
Five Tip Configurations
Active heat transfer
Gold tips
Sterile single-use tips
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ISOCOOL BIpOLAR FORCEpS pROdUCT INFORMATION FORCEPS HANDLE AND SINGLE-USE GOLD TIPS
ORdERING & LENGTH ISOCOOL BIPOLAR FORCEPS TOTAL LENGTH AND WORKING LENGTH FORCEPS
SINGLE-USE TIPS
ISOCOOL BIPOLAR FORCEPS HANDLE
2.0 mm
1.0 mm
0.5 mm
0.25 mm
ISOCOOL BIPOLAR FORCEPS TIP SIZES
8135025S(0.25 mm)
8135050S(0.5 mm)
8135100S(1.0 mm)
823510GL(1.0 mm)
8135200S(2.0 mm)
8135025S (0.25 mm)
8135050S (0.5 mm)
8135100S (1.0 mm)
8135200S (2.0 mm)
823510GL (1.0 mm)
TOP I SIDE TOP I SIDE TOP I SIDE TOP I SIDE TOP I SIDE
E Z I
S L A
U
T
C A
”5.3
”5.4
”5.5
WORKINGLENGTHS*
ACTUAL SIZE
ORDERING & LENGTHISOCOOL BIPOLAR FORCEPS TOTAL LENGTHAND WORKING LENGTH FORCEPS
ITEM TIP SIZE8.5” TOTAL LENGTH AND A 3.5” WORKING LENGTH81 35 025S 0.25 mm tip 1 pair81 35 050S 0.5 mm tip 1 pair81 35 100S 1.0 mm tip 1 pair82 35 10GL 1.0 mm tip 1 pair – (GL)81 35 200S 2.0 mm tip 1 pair9.5” TOTAL LENGTH AND A 4.5” WORKING LENGTH81 45 025S 0.25 mm tip 1 pair81 45 050S 0.5 mm tip 1 pair81 45 100S 1.0 mm tip 1 pair81 45 200S 2.0 mm tip 1 pair10.5” TOTAL LENGTH AND A 5.5” WORKING LENGTH81 55 025S 0.25 mm tip 1 pair81 55 050S 0.5 mm tip 1 pair81 55 100S 1.0 mm tip 1 pair81 55 200S 2.0 mm tip 1 pairISOCOOL BIPOLAR FORCEPS HANDLE80 10 010H ISOCOOL Bipolar Forceps Handle – Flat and Insulated
*Approximate working length is measured from distal tip to proximal end of shaft.
Item Tip Size
8.5" Total Length and 3.5" Working Length
81-35025S 0.25 mm tip 1 pair
81-35050S 0.5 mm tip 1 pair
81-35100S 1.0 mm tip 1 pair
82-3510GL 1.0 mm tip 1 pair - (GL)
81-35200S 2.0 mm tip 1 pair
9.5" Total Length and 4.5" Working Length
81-45025S 0.25 mm tip 1 pair
81-45050S 0.5 mm tip 1 pair
81-45100S 1.0 mm tip 1 pair
81-45200S 2.0 mm tip 1 pair
10.5" Total Length and 5.5" Working Length
81-55025S 0.25 mm tip 1 pair
81-55050S 0.5 mm tip 1 pair
81-55100S 1.0 mm tip 1 pair
81-55200S 2.0 mm tip 1 pair
ISOCOOL Bipolar Forceps Handle
80-10010H ISOCOOL Bipolar Forceps Handle - Flat and Insulated
ISOCOOL and the COdMAN logo are registered trademarks of Codman & Shurtleff, Inc.©Codman Neuro, a division of dOI 2010, 2016. All rights reserved.07/2014
dSUS/COd/0216/0663 02/16
Codman & Shurtleff, Inc.325 paramount driveRaynham, MA 02767For Customer Service in the USAcall: 1-800-255-2500
www.depuysynthes.com
distributed in the USA by:
For more information, contact your
Codman Neuro Sales Representative
For product information, call (800) 225-0460
www.depuysynthes.com
INDICATIONS FOR USE:
The ISOCOOL Bipolar Forceps (handles and tips) when used as part of a system including a bipolar electrosurgical generator
are indicated for cauterizing, coagulating, grasping and manipulating tissue during general surgery, neurosurgery, ENT surgery,
OB/GYN surgery, and maxillofacial/plastic surgery procedures. The ISOCOOL Bipolar Forceps are also indicated for cauterizing,
coagulating, grasping and manipulating soft tissue during spine surgery and orthopaedic surgery.
Indications for use in OB/GYN surgery exclude contraceptive coagulation of fallopian tube tissue.
ISOCOOL Bipolar Forceps• Continuous coagulation virtually eliminates interruptions
• Enhances ability to coagulate delicate tissue in fine detail
• Reduces surgeon frustration and fatigue, leading to increased efficiency
• Can eliminate vessel rebleeding
• Can reduce inadvertent collateral and peripheral tissue damage
• Shorter procedures are a benefit to surgeons, hospitals