New Laparoscopic Devices from Ethicon
On August 26th 2014 Ethicon released several new laparoscopic devices with a Bariatric focus. These devices included:
- ECHELON FLEX™ GST SYSTEM – A new powered laparoscopic stapling system that grips the tissues to prevent slipping and allowing better formed staples, and may result in fewer staple loads used in a case. I suspect most likely to use less staple loads in a gastric sleeve resection.
- ENSEAL® G2 Articulating Tissue Sealer – a 5mm – 45cm articulating energy device. Giving extra length for dividing tissues plus the ability to come across vessels at a 90 degree angle. They tout that 90 degree angle is 28% stronger than coming across a vessel at a 45 degree angle.
- HARMONIC ACE®+7 Shears – the only purely ultrasonic device with a 7mm vessel indication. “Provides advanced hemostasis and precision dissection, while generating less heat.”
Check out the press release here.
Fighting Post Operative Ileus
Whether or not you believe pain is the fifth vital sign, a new objective measurement of “intestinal rate is being tested out called “Abstat”. The device is essentially an electronic stethoscope that is placed on the patients lower abdomen. The sound is then analyzed by a computer to detect bowel function and more specifically to identify the lack of intestinal function in conditions such as Post Operative Ileus(POI).
I can see this being most useful to avoid the immediate re-admission of the post-surgical patient who begins to manifest his ileus on the car ride home. Post operative ileus is the enemy of ERAS(Enhanced Recovery After Surgery) protocols, and I don’t believe it will be two long before this integrated into these programs. Objective measurements of bowel function will go a long way in helping us figure out how to prevent and maybe even solve many of our post operative ileus problems.
Check out the Medgadget article.
Check out the Data published in Journal of Gastrointestinal Surgery.
Check out the UCLA press release.