Evaluation of the Safety, Efficacy, and Versatility of a New Surgical Energy Device (THUNDERBEAT) in Comparison with Harmonic ACE, LigaSure V, and EnSeal Devices in a Porcine Model

Abstract

TB has a higher versatility compared with the other instruments tested with faster dissection speed, similar bursting pressure, and acceptable thermal spread. This new energy device is an appealing, safe alternative for cutting, coagulation, and tissue dissection during surgery and should decrease time and increase versatility during surgical procedures.

Era of Bloodless Surgery: Spotlights on Hemostasic Materials and Techniques

“…Compared with the other instruments, THUNDERBEAT has a faster dissection speed, acceptable thermal spread, and similar bursting pressure. Thus, this new surgical device is a charming and a safe alternative for tissue dissection during surgery, cutting and coagulation [65].…”

Bipolar Electrosurgical Vessel-Sealing Device With Compressive Force Monitoring

“…Critical operation parameters affecting the vessel seal quality include the magnitude of compressive force, sealing time, and electrical energy level [14]. The vessel seal quality is commonly evaluated using the burst pressure testing method [1,2,4,11,12,[14][15][16][17][18][19][20]. This method involves subjecting the seal to slowly increase intraluminal pressure until the seal fails by bursting.…”

“…Three studies [15,17,19] have compared three common bipolar laparoscopic electrosurgical devices for vessel sealing: the Gyrus ACMI (Maple Grove, MN) PKS'^'^™ Cutting Forceps, denoted as PK; SurgRX (Redwood City, CA), EnSeaP"^ Tissue Sealing, denoted as RX; and Valleylab (Boulder, CO) LigaSure'^'^ V, denoted as LS. Figure 1 summarizes the burst pressure results obtained by these three devices (PK, RX, and LS) for three vessel size groups [15,17,19].…”

“…Figure 1 summarizes the burst pressure results obtained by these three devices (PK, RX, and LS) for three vessel size groups [15,17,19]. For large sized vessels (6-8 mm), the RX and LS, which both use a linkage mechanism for the electrodes to compress vessels (as shown in Fig.…”

A novel approach to assess minimally invasive surgical device failure utilizing adverse event outcome severity and design complexity.

“…Due to the Thunderbeat's integration of two sealing technologies, it has been shown to be highly effective in its sealing capabilities, and its performance has been deemed equivalent at the least and even superior in some cases compared to that of similar energy-based tissue sealers (Milsom, Trencheva et al 2012, Seehofer, Mogl et al 2012, Aytan, Nazik et al 2014, Liberman, Khereba et al 2014, Obonna and Mishra 2014, Van Slycke, Gillardin et al 2016). Recall typically a higher complexity is viewed as an unfavorable design attribute; however, that is debatable in this particular case.…”