Spine & Neurosurgery

  • Surgical Site Infections (SSI) are the most common infections treated by spinal surgeons and are associated with increased morbidity, mortality, cost, and inferior outcomes. Rates of SSI vary based on the invasiveness of the procedure, underlying spinal pathology, and patient population. The rates of SSI are reported to be as low as 0.07% in patients undergoing anterior cervical discectomy and fusion, to 2.94% in posterior cervical surgery, 2.4% for spinal tumours, 8.8% in primary lumbar fusions, and 12.2% in revision lumbar fusions.[1]
FloraSeal®
  • Patients with deep infection after instrumented fusion had more back pain and were less likely to reach MCID (minimum clinically important difference) at 2 years compared with patients without infection.[2]
  • FloraSeal has been shown to trap and immobilise bacteria that may cause infection to the patient. It rapidly and powerfully kills gram-positive and gram-negative bacteria.[3]
  • FloraSeal effectively reduces microbial colonisation within 15 minutes and maintains a low microbial colonisation throughout the 24 hours after application, has the same efficacy when being used with or without an antimicrobial surgical incise drape, and mitigates microorganisms more effectively than an antimicrobial surgical incise drape alone.[4]

1. Spina, N. T., Aleem, I. S., Nassr, A., & Lawrence, B. D. (2018). Surgical Site Infections in Spine Surgery: Preoperative Prevention Strategies to Minimize Risk. Global Spine Journal, 8(4_suppl), 31S-36S. https://doi.org/10.1177/2192568217752130

2. Petilon, J. M., Glassman, S. D., Dimar, J. R., & Carreon, L. Y. (2012). Clinical outcomes after lumbar fusion complicated by deep wound infection: a case-control study. Spine, 37(16), 1370–1374. https://doi.org/10.1097/BRS.0b013e31824a4d93

3. Prince, D., Kohan, K., Solanki, Z., Mastej, J., Prince, D., Varughese, R., & Patel, M. (2017). Immobilization and death of bacteria by Flora Seal microbial sealant. Int J Pharm Sci Invent, 6(6), 45-49.

4. Data on File. Adhezion Biomedical, LLC

  • 53% less rise in temperature near critical structures, such as carotid sheath, compared to traditional electrosurgery[5]
  • Demonstrated equivalence in healed incision strength, inflammatory cell counts, and healed scar width, compared to scalpel[6,7,8]
  • Decreased thermal injury profile, as determined by the zone of thermal coagulation necrosis, suggests that the device may be used in closer proximity to adjacent critical structures with less risk of thermal injury[7]
PlasmaBlade™

PROCEDURES

  • Multilevel spinal fusion
  • Anterior cervical discectomy and fusion (ACDF)
  • Posterior cervical discectomy and fusion (PCDF)
  • Posterior lumbar interbody fusion (PLIF)
  • Transforaminal lumbar interbody fusion (TLIF)
  • Anterior lumbar interbody fusion (ALIF)
  • Minimally invasive TLIF
  • Scoliosis surgery
  • Laminotomy, discectomy, decompression
  • Patients with pacemaker, DBS, or spine stimulator insitu

5. Cao J, Steiner P, Vose JG. Electrical interference in ICD ventricular sense channel: Medtronic PEAK PlasmaBlade compared to traditional electrosurgery. APHRS November 2015.

6. Ruidiaz ME, Messmer D, Atmodjo DY, et al. Comparative healing of human cutaneous surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a standard scalpel. Plast Reconstr Surg. 2011;128(1):104-111.
7. Loh SA, Carlson GA, Chang EI, Huang E, Palanker D, Gurtner GC. Comparative healing of surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a scalpel. Plast Reconstr Surg. 2009;124(6):1849-1859.
8. Chang EI, Carlson GA, Vose JG, Huang EJ, Yang GP. Comparative healing of rat fascia following incision with three surgical instruments. J Surg Res. 2011;167(1):47-54.

7. Loh SA, Carlson GA, Chang EI, Huang E, Palanker D, Gurtner GC. Comparative healing of surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a scalpel. Plast Reconstr Surg. 2009;124(6):1849-1859.

  • 57% less blood loss in multi-level spinal fusions[9]
  • Decreased surgical time[10]
  • 58% fewer transfusions in multi-level spinal fusions[11]
  • $745 average per case savings of blood product cost[12]
Aquamantys™

9. Mankin KP, Moore CA, Miller LE et al. Hemostasis with a bipolar sealer during surgical correction of adolescent idiopathic scoliosis J Spinal Disorders & Techniques 2012; 25(5):259–63.

10. Snyder BD, Hedequist D, Shannon E. Hemostatic efficacy of bipolar wound sealer as adjunct to wound management in children with neuromuscular scoliosis. Poster presentation at Pediatric Orthopaedic Society of North America Annual Meeting 2007; Hollywood, FL.

11. Gordon ZL, Son-Hing JP, Poe-Kochert C, Thompson GH. Bipolar sealer device reduces blood loss and transfusion requirements in posterior spinal fusion for adolescent idiopathic scoliosis. J Pediatr Orthop. 2013;33(7):700–706.

12. Frank S, Dackiw E, Kebaish K. Radiofrequency bipolar hemostatic sealer reduces blood loss, transfusion requirements, and cost for patients undergoing multilevel spinal fusion surgery. J Orthop Surg Res. 2014. Jul 5;9:50–56.

  • The autoLog IQ™ autotransfusion system is an intelligent, easy, and adaptable autotransfusion system that delivers a consistently high-quality blood product automatically.
  • Using Dynamic Cell Salvage technology with algorithm-driven Intelligent Blood Sensing, the autoLog IQ™ system makes micro adjustments automatically during processing to help maximize haematocrit and washout, and minimize waste. This dynamic process is proven to recover high-quality blood, fast.
autoLog IQ™
  • The RadiaLux™ lighted retractor is a single-use retractor designed to provide surgeons with the ability to manipulate soft tissue through a combination of blades when assembled onto a retractor handle.
  • The retractor provides illumination to the surgical field independent of an external light source or fibre optic cables.
  • The lighted retractor is indicated for enhancing visibility to a surgical field through retraction of soft tissue and illumination of the surgical cavity.
RadiaLux™

Revolution Surgical Pty Ltd
5/14-16 Crescent Street, Rozelle NSW 2039 AU
ABN: 63 165 643 434

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