Healthcare Professionals
Surgical Applications
PEAK PlasmaBlade® devices may be used to cut and coagulate soft tissue in a broad variety of surgical procedures.
PEAK PlasmaBlade Applications for Pacemaker/ICD Implants and Revisions
Detail - Operative temperature profile of PEAK PlasmaBlade System vs. traditional electrosurgery1,*
The PEAK PlasmaBlade® has demonstrated a significant reduction in thermal damage to transvenous leads compared to traditional electrosurgical devices.2,** The PEAK PlasmaBlade operates at significantly lower temperatures than traditional electrosurgical technology (40 – 170°C vs. 200 – 350°C).1,* The melting point of polyurethane insulation (PU55D) is between 185 – 225°C.3
Our surgical instruments for Pacemaker/ICD Implant and Revision applications include:
- The PEAK PlasmaBlade 4.0 – cuts through all types of soft tissue, including skin, fat and muscle
- The PEAK PlasmaBlade 3.0S – offers complete integrated suction with a telescoping shaft for an extended reach of up to 15cm
- The PEAK PlasmaBlade Needle – features a fine needlepoint tip for ultra-precise surgical procedures
Detail - Lead insulation comparison of PEAK PlasmaBlade System vs. traditional electrosurgery
The PEAK PlasmaBlade may offer particular value in generator changes, upgrades, and lead revision procedures by enabling efficient dissection with reduced risk of lead damage and the healing characteristics of a scalpel.2,4,** Polyurethane and copolymer lead insulation materials are susceptible to thermal damage during generator change procedures.2,3
Orthopaedic and Spinal
PEAK PlasmaBlade Applications for Orthopaedic and Spine Surgery
The PEAK® Surgery System
PEAK PlasmaBlade® surgical cutting and coagulation instruments provide innovative technology for performing various orthopaedic and spine surgeries, such as total joint arthroplasty and revision procedures. Our surgical tools for orthopaedic and spine surgery include:
- The PEAK PlasmaBlade PLUS – enables precision tissue dissection coagulation when needed
- The PEAK PlasmaBlade 4.0 – cuts through all types of soft tissue, including skin, fat and muscle
- The PEAK PlasmaBlade 3.0S – offers complete integrated suction with a telescoping shaft for an extended reach of up to 15cm
- The PEAK PlasmaBlade Needle – features a fine needlepoint tip for ultra-precise surgical procedures
Benefits of PEAK PlasmaBlade System in Orthopaedic and Spine Surgery*
The PEAK PlasmaBlade surgical instruments provide a single tissue dissection device that offers several features and benefits:
- Maintains its cutting effectiveness and hemostatic ability even when submerged in liquefied tissue or blood1
- Has been shown to reduce blood loss during skin incision by 59% (p = 0.002), compared to scalpel1
- Incisions demonstrated 65% (p < 0.001) greater burst strength at 3 weeks and 42% (p < 0.001) greater at 6 weeks2
- Demonstrated equivalence in healed incision strength, inflammatory cell counts, and healed scar width, compared to scalpel1-3
- Unimpeded performance in wet and dry surgical fields simplifies surgical procedures, eliminating the need for instrument exchanges4
- Uses less total energy and operates at significantly lower temperatures than traditional electrosurgical technology (40 – 170°C vs. 200 – 350°C)5,**
- The 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 structures with less risk of thermal injury1
Surgical Procedures
PEAK PlasmaBlade devices are appropriate for use in a number of orthopaedic and spine procedures:
Knee, Hip, Shoulder Surgery
- Total joint arthroplasty
- Complication/revision arthroplasty
- Dislocation/fracture
- Amputation
Total knee arthroplasty (1:12, 3.68 MB)
Surgical video of total knee arthroplasty with PEAK PlasmaBlade device
References
1
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.
2
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.
3
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.
4
Palanker DV, Vankov A, Huie P. Electrosurgery with cellular precision. IEEE Trans Biomed Eng. 2008;55(2 Pt 2):838-841.
5
Data on file. PEAK PlasmaBlade operating temperature study summary. 71-10-2475.
* Performance has not been specifically established in all procedures.
** Operating temperature is a function of device settings, electrode configuration and treatment time. Operating temperatures outside this range may be observed.
References
1
Data on file. PEAK PlasmaBlade operating temperature study summary. 71-10-2475.
2
Weisberg IL, Desai S, Vose JG, Knight BP. Abstract presented from the podium at Heart Rhythm Society 2010 and Cardiostim 2010.
3
Lim KK, Reddy S, Desai S, et al. Effects of electrocautery on transvenous lead insulation materials. J Cardiovasc Electrophysiol. 2009;20(4):429-435.
4
Borek PP, Wilkoff BL. Pacemaker and ICD leads: strategies for long-term management. J Interv Card Electrophysiol. 2008;23(1):59-72.
* Operating temperature is a function of device settings, electrode configuration and treatment time. Operating temperatures outside this range may be observed.
** Results demonstrated in ex vivo study. The use of electrosurgery in the presence of internal or external cardiac active implants is potentially hazardous. Interference from the electrical current can cause device malfunction. Consult the cardiac pacemaker active implant manufacturer for further information before proceeding with the surgery. Direct contact with certain implanted leads can cause physical damage to certain leads. Exercise caution around leads associated with any active implant, particularly those with thin insulation.