Aquamantys™

Aquamantys™ bipolar sealers use proprietary Transcollation™ technology, combining radiofrequency (RF) energy and saline to provide haemostatic sealing of soft tissue and bone without the smoke or char found in other methods.

The combination of RF energy and saline allows the device to operate at approximately 100˚C — nearly 200˚C less than traditional electrosurgical devices. By controlling bleeding, Aquamantys™ has been shown to significantly reduce the incidence of haematoma and reduce surgical time in a variety of procedures, and may reduce the need for haemostatic agents.[1-5]

Aquamantys™

1. Geller DA, Tsung A, Maheshwari V, Rutstein LA, Fung JJ, Marsh JW. Hepatic resection in 170 patients using saline-cooled radiofrequency coagulation. HPB (Oxford). 2005;7(3):208–213.
2. Marulanda GA, Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125–131.
3. Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a bipolar sealer in total hip arthroplasty: medical resource use and costs using a hospital administrative database. Orthopedics 2014;37(5):e472–481.
4. Weeden SH, Schmidt RH, Isabell G. Haemostatic efficacy of a bipolar sealing device in minimally invasive total knee arthroplasty. J Bone Joint Surg Br Proceedings 2009; 91–B:45.
5. Clement RC, Derman PB, Graham DS, Speck RM, Flynn DN, Levin LS, Fleisher LA. Risk factors, causes, and the economic implications of unplanned readmissions following total hip arthroplasty. J Arthroplasty. 2013 Sep;28(8 Suppl):7-10.

Use in Hip Arthroplasty

Use in Knee Arthroplasty

Achieving Haemostasis

These illustrations show how Aquamantys™ bipolar sealers achieve haemostasis with heat-induced collagen shrinkage in blood vessel walls.

Image

1. RF energy and saline are applied to tissue.

Image

2. Heat-induced collagen shrinkage occurs.

Image

3. Vessels <1 mm may be occluded.

Benefits

Economic

  • Reduces transfusion rates which may lower costs to the hospital[3,4]
  • Decreases surgical time[5,6]
  • May reduce the need for other haemostatic agents[1]

Patient

  • May decrease complications and reduce post-operative patient morbidity[7]
  • Helps to maintain haemoglobin levels[8]
  • Reduces transfusion rates which may contribute to reduced hospital length of stay[3,4]

Intra-operative

  • May reduce exposure to surgical smoke for surgeons and operating room staff[9]
  • Improved visualization of the surgical site[10]
  • Significantly reduced total blood loss compared to traditional electrosurgery[2]

3. Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a bipolar sealer in total hip arthroplasty: medical resource use and costs using a hospital administrative database. Orthopedics 2014;37(5):e472–481.
4. Weeden SH, Schmidt RH, Isabell G. Haemostatic efficacy of a bipolar sealing device in minimally invasive total knee arthroplasty. J Bone Joint Surg Br Proceedings 2009; 91–B:45.

5. Clement RC, Derman PB, Graham DS, Speck RM, Flynn DN, Levin LS, Fleisher LA. Risk factors, causes, and the economic implications of unplanned readmissions following total hip arthroplasty. J Arthroplasty. 2013 Sep;28(8 Suppl):7-10.
6. Ibrahim M, Menna C, Maurizi G, et al. Impact of Transcollation technology in thoracic surgery: a retrospective study. Eur J Cardiothorac Surg. 2016;46(2):623-6.

1. Geller DA, Tsung A, Maheshwari V, Rutstein LA, Fung JJ, Marsh JW. Hepatic resection in 170 patients using saline-cooled radiofrequency coagulation. HPB (Oxford). 2005;7(3):208–213.

7. Bierbaum BE, Callaghan JJ, Galante JO, Rubash HE, Tooms RE, Welch RB. An analysis of blood management in patients having a total hip or knee arthroplasty. J Bone Joint Surg Am. 1999;81(1):2-10.

8. Suarez JC, Slotkin EM, Szubski CR, Barsoum WK, Patel PD. Prospective, Randomized Trial to Evaluate Efficacy of a Bipolar Sealer in Direct Anterior Approach Total Hip Arthroplasty. J Arthroplasty 2015;30(11):1953-8.

9. Data on file. Report 81-10-5683.

10. Procyk S. The Transcollation: Short Hospitals Stay and Accelerated Recovery in Total Hip and Knee Arthroplasties Using a Radiofrequency Bipolar Sealer - an Innovative Approach in the Conceptualization of the Surgical Gesture. Natl Acad of Surg 2015:15(2):87-97.

2. Marulanda GA, Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125–131.

MBS MALLEABLE BIPOLAR SEALER WITH LIGHT
MBS MALLEABLE BIPOLAR SEALER WITH LIGHT

Malleable shaft and built-in light allow access to hard-to-reach anatomy and provide illumination during surgery.

6.0 BIPOLAR SEALER
6.0 BIPOLAR SEALER

Large-sized electrodes provide haemostatic sealing of soft tissue and bone.

2.3 BIPOLAR SEALER
2.3 BIPOLAR SEALER

Medium-sized electrodes provide more precise application for haemostatic sealing.

MINI EVS 3.4 EPIDURAL VEIN SEALER
MINI EVS 3.4 EPIDURAL VEIN SEALER

3.4mm tip size for small epidural access points, and insulated shaft enables simultaneous retraction and electrode use near sensitive tissue such as dura and nerve roots.

EVS EPIDURAL VEIN SEALER
EVS EPIDURAL VEIN SEALER

Insulated shaft enables electrode use near sensitive tissue such as dura and nerve roots.

9.5XL BIPOLAR SEALER
9.5XL BIPOLAR SEALER

Cone-shaped electrodes aid in blunt dissection and haemostatic sealing.

SBS 5.0 SHEATHED BIPOLAR SEALER
SBS 5.0 SHEATHED BIPOLAR SEALER

Retractable sheath enables simultaneous retraction and electrode use near sensitive tissue such as dura and nerve roots (sheath closed), and haemostatic sealing of soft tissue and bone (sheath open).

ENDO VS 8.7R VATS BIPOLAR SEALER
ENDO VS 8.7R VATS BIPOLAR SEALER

Rounded electrodes allow for broad plane haemostasis on chest wall.

ENDO DBS 8.7 DISSECTING BIPOLAR SEALER
ENDO DBS 8.7 DISSECTING BIPOLAR SEALER

Laparoscopic length enables minimally-invasive procedures, with cone- shaped electrodes to aid in blunt dissection.

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

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