Why Thermal?

Understanding Thermal Technology and why it makes a difference

Overview

Achieving operative hemostasis is imperative to fine dissection and nerve preservation. The traditional steel scalpel has been the instrument of choice for precise surgical dissection due to its accuracy and lack of tissue damage. However, attendant capillary oozing and blood loss is problematic with a steel scalpel. The Hemostatix Thermal Scalpel enables surgeons to perform fine dissection with immediate hemostasis without fear of neuropraxia.

Sharp Dissection

Immediate Hemostasis

No Electro-conductivity

Complete Visualization

Tactile Feedback

Surgical Incision Device

Attribute

Hemostatix Thermal Scalpel
Cold Scalpel
Monopolar Electrosurgery-Cut
Monopolar Electrosurgery-Coag
Ultrasonic Incision
Ferromagnetically Heated Loop
Pulsed Monopolar Electrosurgery
CUTTING EFFECTIVENESS
Provides scalpel tactile feedback sufficient to distinguish tissue types
Provides precise tissue incision equivalent to cold scalpel
Incises with low-drag in all tissue types
Reduces operating time to both cut and coagulate tissue
Eliminates need to adjust tip-to-tissue air gap distance during incision
HEMOSTASIS EFFECTIVENESS
Allows surgeon to set scalpel maximum temperature
Minimizes collateral thermal damage to nearby vital structures
Seals most blood vessels as they are incised providing dry field
Enables application of tamponade to seal larger vessels prior to incision
Minimizes depth of necrosis at surface of incision
SAFETY
Eliminates possibility of electrical tissue stimulation
Eliminates possibility of dispersing airborne, viable tumor cells and virions
Avoids interference with Pacemakers, Implantable Defibrillators, Cochlear implants
Eliminates need for smoke evacuation
Eliminates grounding pad
Avoids electrical current flow is tissue, unwanted collateral electrical tissue injury
{see Notes 1, 2, 3 and 6}
{see Notes 1, 2, 3 and 6}
{see Notes 1, 2, 3 and 5}
{see Notes 1, 2 and 3}
Note 1--Hashimoto, M., et.al., Viability of Airborne Tumor Cells during Excision by Ultrasonic Device. Hindawi Surgery Research and Practice 2017; 4907576:1-5
Note 2--Barrett, W., et.al., Surgical Smoke--A Review of the Literature. Surgical Endoscopy 2003; 17: 979-987
Note 3--Sawchuck, W., et.al., Infectious Papillomavirus in the Vapor of Warts Treated with Carbon Dioxide Laser or Electrocoagulation: Detection and Protection. Journal of American Academy of Dermatology 1989; 21:41-49
Note 4--Baggish, M., et.al., Presence of Human Immunodeficiency Virus DNA in Laser Smoke. Lasers in Surgical Medicine 1991; 11: 197-203
Note 5--Johnson, G. et.al., Human Immunodeficiency Virus-1 (HIV-1) in Vapors of Surgical Power Instruments. Journal of Medical Virology 1991; 33: 47-50
Note 6--Fletcher, J., et.al., Dissemination of Melanoma Cells within Electrosurgery Plume. American Journal of Surgery 1999; 178: 57-59

Thermal Technology

The Scalpel Blade is a 5-layer laminate composition of copper and stainless steel.  The blade is surgically sharp.  Advanced micro-electric circuitry applied to the blade surface enables immediate heating to a maximum of 300 degrees Celsius.  The patient is insulated from the electric current and no grounding pad is required.   

The Precision 8400 controller energizes (heats) the scalpel blade to maintain the desired temperature within extremely narrow limits (+/- 5 degrees Celsius).   Advanced Virtual Temperature Sensing (VTS) software enables the Precision 8400 to automatically maintain scalpel blade temperature at the desired set-point in response to 1) the type of tissue being incised and, 2) the rate of the surgeons cutting speed.

The result is a dry, clean surgical field which provides exceptional visualization for the safe dissection of nerves and critical anatomy. 

Precision

Enables precise anatomical dissection with no electroconductivity

Visualization

Allows complete visualization of nerves, vessels, and critical anatomical structures.

Control

Accurate tactile feedback allows unprecedented surgical control.